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General NPI Number Information
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NPI Number | 1962836163
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS BEHAVIORAL HEALTH CENTER, INC.
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Dates
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Enumeration Date | 08/25/2013
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 2655 E OAKLAND PARK BLVD STE # 1 & # 3
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City | FT LAUDERDALE
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State | FL
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Zip | 33306-1662
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Country | US
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Telephone | 239-234-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 2655 E OAKLAND PARK BLVD STE # 1 & # 3
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City | FT LAUDERDALE
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State | FL
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Zip | 33306-1662
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Country | US
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Telephone | 239-234-9980
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | IRVING PORT
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Credential |
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Telephone | 954-900-4260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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