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General NPI Number Information
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NPI Number | 1114348703
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Entity Type | Organization
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Legal Business Name | ACCESS BEHAVIORAL HEALTH SOLUTIONS
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 3435 W 96TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46268
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Country | US
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Telephone | 317-802-7447
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 W 96TH ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46268-1102
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Country | US
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Telephone | 317-802-7447
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALYSIA FUHRMAN
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Credential |
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Telephone | 317-560-0718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1118421
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License Number State | IN
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