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General NPI Number Information
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NPI Number | 1194881813
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH SERVICES PA
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 11645 BISCAYNE BLVD
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City | NORTH MIAMI
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State | FL
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Zip | 33181-3155
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Country | US
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Telephone | 800-275-3243
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Fax | 800-275-3671
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Provider Business Mailing Address
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Address Line | 5110 12TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11219-3424
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Country | US
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Telephone | 800-275-3243
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Fax | 800-275-3671
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISRAEL RUBENSTEIN
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Credential | PHD
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Telephone | 800-275-3243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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