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General NPI Number Information
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NPI Number | 1255874533
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Entity Type | Organization
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Legal Business Name | STRENGTHEN BEHAVIOR CONSULTANTS, LLC
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 1306 W EULESS BLVD SUITE 300A
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City | EULESS
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State | TX
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Zip | 76040-4985
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Country | US
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Telephone | 817-857-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 W EULESS BLVD SUITE 300A
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City | EULESS
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State | TX
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Zip | 76040-4985
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Country | US
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Telephone | 817-857-1076
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. RUSHINA BHATT
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Credential | PH.D.
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Telephone | 817-857-1076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 37340
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License Number State | TX
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