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General NPI Number Information
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NPI Number | 1275999211
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Entity Type | Organization
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Legal Business Name | CK BEHAVIORAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 320 WESTWAY PL SUITE 530
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City | ARLINGTON
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State | TX
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Zip | 76018-5245
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Country | US
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Telephone | 817-516-9100
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Fax | 817-516-9102
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Provider Business Mailing Address
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Address Line | PO BOX 173038
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City | ARLINGTON
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State | TX
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Zip | 76003-3038
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Country | US
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Telephone | 817-516-9100
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Fax | 817-516-9102
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Authorized Official
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Title or Position | CEO
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Name | MR. WILLIAM A LUND
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Credential |
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Telephone | 817-516-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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