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General NPI Number Information
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NPI Number | 1063913002
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Entity Type | Organization
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Legal Business Name | CLARITY BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 02/26/2018
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Provider Practice Location Address
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Address Line | 9403 KENWOOD RD STE C111
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City | BLUE ASH
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State | OH
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Zip | 45242-6857
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Country | US
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Telephone | 513-904-6004
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Fax |
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Provider Business Mailing Address
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Address Line | 9403 KENWOOD RD
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City | BLUE ASH
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State | OH
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Zip | 45242-6895
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Country | US
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Telephone | 513-794-1118
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | DR. RICHARD BAUM
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Credential | EDD
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Telephone | 513-904-6004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3344
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License Number State | OH
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Taxonomy #2
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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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