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General NPI Number Information
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NPI Number | 1083057723
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Entity Type | Organization
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Legal Business Name | PARTNERS FOR BEHAVIORAL HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 24800 HIGHPOINT RD STE A
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City | BEACHWOOD
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State | OH
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Zip | 44122-6042
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Country | US
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Telephone | 216-342-5496
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Fax | 216-763-9700
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Provider Business Mailing Address
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Address Line | 24800 HIGHPOINT RD STE A
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City | BEACHWOOD
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State | OH
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Zip | 44122-6042
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Country | US
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Telephone | 216-342-5496
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Fax | 216-763-9700
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. HOWARD M BONEM
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Credential | PH.D.
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Telephone | 216-916-9276
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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 | 3359
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License Number State | OH
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