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General NPI Number Information
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NPI Number | 1891001731
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGSMINISTRIES OF LAWRENCEVILLE
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 08/30/2010
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Provider Practice Location Address
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Address Line | 1585 OLD NORCROSS RD SUITE 203
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4055
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Country | US
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Telephone | 770-831-1799
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Fax | 770-963-0650
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Provider Business Mailing Address
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Address Line | PO BOX 464757
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City | LAWRENCEVILLE
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State | GA
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Zip | 30042-4757
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Country | US
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Telephone | 770-831-1799
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Fax | 770-963-0650
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. MARCIA D. MCWHORTER
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Credential | RN. CCMFT
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Telephone | 770-831-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | IACCP0021
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APC002694
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN035504
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC003945
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License Number State | GA
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