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General NPI Number Information
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NPI Number | 1093298234
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL SERVICES NETWORK LLC
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 8200 NW 41ST ST STE 200
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City | DORAL
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State | FL
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Zip | 33166-6204
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Country | US
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Telephone | 305-907-7470
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 NW 41ST ST STE 200
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City | DORAL
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State | FL
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Zip | 33166-6204
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Country | US
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Telephone | 305-907-7470
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MARY SAIZ
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Credential |
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Telephone | 305-907-7470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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