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General NPI Number Information
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NPI Number | 1194166348
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Entity Type | Organization
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Legal Business Name | CONTINUUM BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 1 RANDALL SQ SUITE 206
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City | PROVIDENCE
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State | RI
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Zip | 02904-2709
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Country | US
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Telephone | 401-443-4500
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Fax |
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Provider Business Mailing Address
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Address Line | ONE RANDALL SQUARE SUITE 206
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City | PROVIDENCE
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State | RI
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Zip | 02904-5757
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PRACTICE ADMINISTRATION
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Name | MRS. DONNA RICHARD
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Credential |
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Telephone | 401-528-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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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 | 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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