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General NPI Number Information
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NPI Number | 1265451132
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Entity Type | Individual
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Provider Name | MICHAEL W BEHLES PH.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/10/2017
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Provider Practice Location Address
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Address Line | 1447 4TH ST SUITE C
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City | NAPA
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State | CA
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Zip | 94559-2805
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Country | US
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Telephone | 818-424-0990
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Fax | 877-669-1468
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Provider Business Mailing Address
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Address Line | 685 E K ST SUITE C
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City | BENICIA
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State | CA
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Zip | 94510-3508
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Country | US
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Telephone | 818-424-0990
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Fax | 877-669-1468
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | PSY4517
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License Number State | CA
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