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General NPI Number Information
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NPI Number | 1447005541
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH SERVICES NORTH, INC.
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 25 WILLOWBROOK RD
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City | QUEENSBURY
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State | NY
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Zip | 12804-5882
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Country | US
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Telephone | 518-563-8206
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Fax | 518-324-3714
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Provider Business Mailing Address
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Address Line | 22 US OVAL STE 218
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City | PLATTSBURGH
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State | NY
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Zip | 12903-5902
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Country | US
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Telephone | 518-572-4873
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARK LUKENS
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Credential |
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Telephone | 518-563-8206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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