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General NPI Number Information
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NPI Number | 1316377666
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Entity Type | Organization
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Legal Business Name | OCEANS BEHAVIORAL HOSPITAL OF LONGVIEW LLC
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Dates
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Enumeration Date | 11/23/2013
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Last Update Date | 11/23/2013
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Provider Practice Location Address
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Address Line | 615 CLINIC DR
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City | LONGVIEW
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State | TX
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Zip | 75605-5172
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Country | US
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Telephone | 903-212-3105
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Fax |
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Provider Business Mailing Address
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Address Line | 1 LAKESHORE DR STE 1000
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City | LAKE CHARLES
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State | LA
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Zip | 70629-0100
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Country | US
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Telephone | 337-721-1900
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Fax | 337-721-1976
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Authorized Official
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Title or Position | C.E.O.
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Name | TIMOTHY JASON REED
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Credential |
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Telephone | 337-721-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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