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General NPI Number Information
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NPI Number | 1235681917
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Entity Type | Organization
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Legal Business Name | DBT CONNECTIONS, INC.
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 650 HAMPSHIRE RD STE 118
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-2536
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Country | US
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Telephone | 805-497-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 650 HAMPSHIRE ROAD SUITE 118
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361
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Country | US
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Telephone | 818-497-0505
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Fax |
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Authorized Official
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Title or Position | AGENT
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Name | BOWER STACY
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Credential | DNP
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Telephone | 805-497-0505
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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 | 345468
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License Number State | CA
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