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General NPI Number Information
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NPI Number | 1124359724
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTHCARE INSTITUTE INC
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Dates
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Enumeration Date | 01/20/2010
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Last Update Date | 06/22/2010
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Provider Practice Location Address
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Address Line | 10008 PARK PLACE AVE
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City | RIVERVIEW
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State | FL
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Zip | 33578-5303
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Country | US
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Telephone | 813-374-2134
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Fax | 813-374-2340
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Provider Business Mailing Address
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Address Line | 10008 PARK PLACE AVE
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City | RIVERVIEW
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State | FL
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Zip | 33578-5303
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Country | US
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Telephone | 813-374-2134
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Fax | 813-374-2340
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS MARIA ESMERALDA GRUNGLASSE
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Credential | LMHC
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Telephone | 305-333-6299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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