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General NPI Number Information
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NPI Number | 1992975601
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Entity Type | Organization
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Legal Business Name | A NEW INSPIRATION
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 816 W MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-4205
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Country | US
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Telephone | 336-287-6402
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Fax | 336-734-1656
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Provider Business Mailing Address
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Address Line | 816 W MAIN ST
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City | DANVILLE
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State | VA
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Zip | 24541-4205
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Country | US
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Telephone | 336-287-6402
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Fax | 336-734-1656
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Authorized Official
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Title or Position | OWNER
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Name | MR. MITCHELL K BROWN
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Credential |
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Telephone | 336-287-6402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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