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General NPI Number Information
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NPI Number | 1033268859
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE BEHAVIORAL HEALTH ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 104 JAVIT CT
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City | AUSTINTOWN
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State | OH
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Zip | 44515-2409
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Country | US
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Telephone | 330-797-4050
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Fax | 330-797-4090
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Provider Business Mailing Address
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Address Line | 5305 SYCAMORE HILL DR
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City | NEW MIDDLETOWN
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State | OH
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Zip | 44442-8769
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Country | US
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Telephone | 330-542-9535
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR AND OWNER
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Name | DR. KOTESWARA R. KAZA
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Credential | M.D.
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Telephone | 330-797-4050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E0002791
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 965575
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License Number State | OH
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