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General NPI Number Information
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NPI Number | 1265866560
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Entity Type | Organization
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Legal Business Name | ALLBROOK BEHAVIORAL HEALTHCARE LLC
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 2000 AUBURN DR SUITE 200
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City | BEACHWOOD
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State | OH
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Zip | 44122-4314
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Country | US
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Telephone | 216-400-8005
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Fax |
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Provider Business Mailing Address
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Address Line | 17424 LONG MEADOW TRL
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-5619
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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 | OWNER
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Name | JARROD RAPALJE
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Credential |
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Telephone | 216-400-8005
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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 | LPC #6562
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License Number State | NC
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