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General NPI Number Information
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NPI Number | 1942626601
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Entity Type | Organization
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Legal Business Name | NEW FRONTIER RECOVERY CENTERS
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 766 DELTONA BLVD
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City | DELTONA
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State | FL
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Zip | 32725-7107
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Country | US
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Telephone | 626-797-9977
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Fax | 626-844-2977
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Provider Business Mailing Address
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Address Line | 3191 CORAL WAY SUITE 405
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City | CORAL GABLES
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State | FL
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Zip | 33145-3213
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Country | US
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Telephone | 626-797-9977
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Fax | 626-844-2977
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Authorized Official
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Title or Position | CEO
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Name | VIRGINIA LATIMER
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Credential |
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Telephone | 386-259-5705
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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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