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General NPI Number Information
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NPI Number | 1184733107
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Entity Type | Organization
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Legal Business Name | PARAGON BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/11/2010
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Provider Practice Location Address
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Address Line | 26 CHAMBERLAIN HWY
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City | KENSINGTON
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State | CT
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Zip | 06037-1921
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Country | US
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Telephone | 860-893-0040
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Fax | 860-893-0046
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Provider Business Mailing Address
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Address Line | 26 CHAMBERLAIN HWY
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City | KENSINGTON
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State | CT
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Zip | 06037-1921
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Country | US
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Telephone | 860-893-0040
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Fax | 860-893-0046
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. RANDI SCHNUR
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Credential | PH.D.
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Telephone | 860-893-0040
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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