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General NPI Number Information
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NPI Number | 1902145717
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Entity Type | Organization
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Legal Business Name | NEW DAWN COUNSELING LLC
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 1234 DEL ESTE AVE STE 401
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4829
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Country | US
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Telephone | 225-665-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 DEL ESTE AVE STE 401
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-4829
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OUTPATIENT COUNSELORS
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Name | ANDREA ENGELS
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Credential | LPC, NCC
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Telephone | 225-665-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5471
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License Number State | LA
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