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General NPI Number Information
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NPI Number | 1235934548
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Entity Type | Organization
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Legal Business Name | CENTER FOR PERFORMANCE & BEHAVIORAL HEALTH CONSULTATIONS PLLC
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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 | 5028 WISCONSIN AVE NW STE 303
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City | WASHINGTON
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State | DC
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Zip | 20016-4118
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Country | US
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Telephone | 771-240-3833
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Fax | 866-740-0638
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Provider Business Mailing Address
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Address Line | 5028 WISCONSIN AVE NW STE 303
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City | WASHINGTON
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State | DC
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Zip | 20016-4118
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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 | FOUNDING DIRECTOR
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Name | CHRISTOPHER FRANCIS FLYNN
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Credential | MD
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Telephone | 832-372-1183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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