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General NPI Number Information
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NPI Number | 1972734564
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS HEALING FOUNDATION
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 114 CENTER ST
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5707
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Country | US
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Telephone | 910-353-1877
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Fax |
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Provider Business Mailing Address
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Address Line | 114 CENTER ST
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5707
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Country | US
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Telephone | 910-353-1877
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Fax |
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Authorized Official
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Title or Position | CHAIRPERSON/FOUNDER
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Name | MS. GLORIA JEAN TAYLOR
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Credential |
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Telephone | 910-353-1877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NC
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