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General NPI Number Information
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NPI Number | 1942007240
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Entity Type | Organization
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Legal Business Name | NEW LIFE DREAM CENTER
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1200 TAYLOR RD
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City | BETHEL ISLAND
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State | CA
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Zip | 94511-0029
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Country | US
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Telephone | 925-784-8444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91
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City | BETHEL ISLAND
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State | CA
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Zip | 94511-0091
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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 | DIRECTOR
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Name | CURTIS GEE
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Credential |
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Telephone | 925-784-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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