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General NPI Number Information
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NPI Number | 1093974859
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH ASSESSMENTS INC
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 07/18/2008
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Provider Practice Location Address
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Address Line | 1410 GLASGOW LN
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City | ALLEN
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State | TX
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Zip | 75013-4685
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Country | US
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Telephone | 800-207-1592
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Fax |
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Provider Business Mailing Address
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Address Line | 5068 W PLANO PKWY
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City | PLANO
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State | TX
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Zip | 75093-4408
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Country | US
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Telephone | 214-383-4108
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JUDITH A ALLEN
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Credential | PHD
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Telephone | 214-383-4108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 24433
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License Number State | TX
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