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General NPI Number Information
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NPI Number | 1063249597
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Entity Type | Organization
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Legal Business Name | EMPOWER BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 09/18/2024
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Last Update Date | 09/24/2024
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Provider Practice Location Address
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Address Line | 18401 TIMBER FOREST DR
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City | ATASCOCITA
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State | TX
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Zip | 77346-2535
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Country | US
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Telephone | 281-624-5093
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Fax |
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Provider Business Mailing Address
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Address Line | 18401 TIMBER FOREST DR
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City | ATASCOCITA
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State | TX
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Zip | 77346-2535
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BEHAVIOR TECH
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Name | JENNIFER HARE
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Credential |
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Telephone | 346-462-9896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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