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General NPI Number Information
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NPI Number | 1225834567
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Entity Type | Organization
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Legal Business Name | ADJUVANT BEHAVIORAL HEALTH INC
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Dates
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Enumeration Date | 02/19/2025
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 101 EISENHOWER PKWY STE 300
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City | ROSELAND
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State | NJ
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Zip | 07068-1054
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Country | US
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Telephone | 866-912-2746
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Fax | 800-420-2305
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Provider Business Mailing Address
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Address Line | 11754 JOLLYVILLE RD STE 110
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City | AUSTIN
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State | TX
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Zip | 78759-3948
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Country | US
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Telephone | 866-912-2746
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Fax | 800-420-2305
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Authorized Official
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Title or Position | CONTRACT CREDENTIALING SPECIALIST
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Name | ELIZABETH MYERS
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Credential |
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Telephone | 866-912-2746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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