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General NPI Number Information
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NPI Number | 1467779744
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Entity Type | Organization
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Legal Business Name | BHP, LLC
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 15508 W BELL RD
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City | SURPRISE
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State | AZ
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Zip | 85374-2432
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Country | US
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Telephone | 623-698-4746
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Fax |
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Provider Business Mailing Address
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Address Line | 15508 W BELL RD
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City | SURPRISE
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State | AZ
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Zip | 85374-2432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | BEAT BISENZ
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Credential |
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Telephone | 623-698-4746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3735
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License Number State | AZ
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