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General NPI Number Information
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NPI Number | 1922515154
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Entity Type | Organization
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Legal Business Name | A NEW BEGINNING THERAPEUTIC SOLUTIONS COUNSELING CENTER
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 15731 MAIN ST
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City | HESPERIA
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State | CA
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Zip | 92345-3400
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Country | US
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Telephone | 760-244-8188
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Fax | 760-244-8099
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Provider Business Mailing Address
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Address Line | 15731 MAIN ST
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City | HESPERIA
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State | CA
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Zip | 92345-3400
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Country | US
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Telephone | 760-244-8188
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Fax | 760-244-8099
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/OWNER
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Name | DR. SUZETTE R. MOHAMMED
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Credential | PSY.D.
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Telephone | 760-508-3629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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