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General NPI Number Information
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NPI Number | 1336645092
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Entity Type | Organization
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Legal Business Name | BEST FRIENDS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 04/03/2018
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Provider Practice Location Address
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Address Line | 950 SEVEN HILLS DR UNIT 122
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City | HENDERSON
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State | NV
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Zip | 89052-4306
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Country | US
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Telephone | 734-646-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 27111 W SIX MILE CO/ LINDA NOVAK
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City | REDFORD
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State | MI
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Zip | 24824-2323
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Country | US
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Telephone | 734-646-2727
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | LINDA JOY NOVAK
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Credential |
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Telephone | 734-646-2727
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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 | NV20181140282
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License Number State | NV
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