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General NPI Number Information
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NPI Number | 1174491591
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Entity Type | Organization
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Legal Business Name | ASCEND BEHAVIORAL SERVICES LLC
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 1010 N 500 E STE 225
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City | NORTH SALT LAKE
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State | UT
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Zip | 84054-1947
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Country | US
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Telephone | 801-889-7036
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 N 500 E STE 225
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City | NORTH SALT LAKE
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State | UT
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Zip | 84054-1947
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Country | US
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Telephone | 801-889-7036
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARTIN FLORES
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Credential |
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Telephone | 602-695-5019
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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