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General NPI Number Information
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NPI Number | 1275420028
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Entity Type | Organization
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Legal Business Name | BEACON BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 875 RIO EAST CT STE C
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8050
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Country | US
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Telephone | 434-963-0324
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Fax | 844-276-1996
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Provider Business Mailing Address
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Address Line | 875 RIO EAST CT STE C
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-8050
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Country | US
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Telephone | 434-963-0324
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Fax | 844-276-1996
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID ALBERT BYRNES
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Credential | MD
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Telephone | 434-963-0324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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