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General NPI Number Information
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NPI Number | 1952360620
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Entity Type | Organization
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Legal Business Name | NEW HORIZONS COMMUNITY MENTAL HEALTH CENTER, INC
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 1469 NW 36TH ST
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City | MIAMI
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State | FL
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Zip | 33142-5557
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Country | US
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Telephone | 305-635-7444
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Fax | 305-638-5507
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Provider Business Mailing Address
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Address Line | 1469 NW 36TH ST
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City | MIAMI
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State | FL
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Zip | 33142-5557
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Country | US
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Telephone | 305-635-0366
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Fax | 305-635-6378
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Authorized Official
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Title or Position | CHIEF INFORMATION OFFICER
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Name | MRS. DEBORAH H KORRAY
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Credential | MS
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Telephone | 305-635-0366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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