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General NPI Number Information
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NPI Number | 1154225753
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Entity Type | Organization
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Legal Business Name | PARAMOUNT OPERATIONS BBD LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 1290 SUMMER ST
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City | STAMFORD
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State | CT
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Zip | 06905-5360
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Country | US
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Telephone | 203-560-1893
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Fax |
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Provider Business Mailing Address
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Address Line | 1290 SUMMER ST
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City | STAMFORD
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State | CT
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Zip | 06905-5360
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Country | US
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Telephone | 203-560-1893
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | CASSANDRA RUELA
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Credential | LPC
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Telephone | 203-560-1893
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #3
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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 | NULL
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