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General NPI Number Information
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NPI Number | 1093314031
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Entity Type | Organization
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Legal Business Name | PLEASANT BEHAVIORAL HEALTH SYSTEMS LLC
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 7200 LAKE ELLENOR DR STE 200
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City | ORLANDO
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State | FL
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Zip | 32809-6200
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Country | US
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Telephone | 407-845-4444
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Fax | 407-845-4446
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Provider Business Mailing Address
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Address Line | 6314 WINDSOR MILL RD STE 301
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City | BALTIMORE
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State | MD
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Zip | 21207-6096
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Country | US
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Telephone | 410-298-7788
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Fax | 410-298-7789
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Authorized Official
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Title or Position | COO
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Name | MR. NATWAN LOGAN
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Credential | ED.S
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Telephone | 410-298-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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