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General NPI Number Information
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NPI Number | 1003752080
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Entity Type | Organization
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Legal Business Name | BOLD BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 950 OFFICE PARK RD STE 221
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City | WEST DES MOINES
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State | IA
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Zip | 50265-2548
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Country | US
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Telephone | 515-207-9693
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Fax |
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Provider Business Mailing Address
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Address Line | 514 TWITCHELL HILL RD
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City | SHAFTSBURY
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State | VT
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Zip | 05262-9252
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Country | US
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Telephone | 515-207-9693
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Fax | 515-512-1502
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT ARNO
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Credential | PA-C
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Telephone | 315-261-8875
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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