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General NPI Number Information
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NPI Number | 1407632383
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTHCARE SOLUTIONS LLC
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Dates
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Enumeration Date | 09/06/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 205 W BOUTZ RD BLDG 2D
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City | LAS CRUCES
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State | NM
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Zip | 88005-3261
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Country | US
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Telephone | 575-520-2861
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Fax | 575-652-4937
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Provider Business Mailing Address
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Address Line | 205 W BOUTZ RD STE D
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City | LAS CRUCES
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State | NM
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Zip | 88005-3262
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Country | US
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Telephone | 575-650-4357
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER/BILLER
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Name | TRACY PEREZ
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Credential |
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Telephone | 575-650-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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