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General NPI Number Information
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NPI Number | 1912860024
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Entity Type | Organization
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Legal Business Name | A NEW START INITIATIVE INCORPORATED
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 8645 SHALLOW CREEK TRAIL
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City | BAILEY
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State | NC
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Zip | 27807
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Country | US
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Telephone | 252-452-8093
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Fax |
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Provider Business Mailing Address
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Address Line | 207 W MILLBROOK RD STE 210
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City | RALEIGH
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State | NC
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Zip | 27609-4490
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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 | FOUNDER & EXECUTIVE DIRECTOR
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Name | FELICIA THORNE
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Credential |
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Telephone | 252-452-8093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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