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General NPI Number Information
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NPI Number | 1376366567
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Entity Type | Organization
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Legal Business Name | AMERICAN BEHAVIORAL HEALTH SYSTEMS, INC.
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 825 E 5TH ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-3818
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Country | US
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Telephone | 360-351-4306
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Fax |
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Provider Business Mailing Address
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Address Line | 825 E 5TH ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-3818
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Country | US
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Telephone | 360-351-4306
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ANTHONY ARTHURE PRENTICE
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Credential |
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Telephone | 360-507-8028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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