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General NPI Number Information
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NPI Number | 1497691919
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Entity Type | Organization
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Legal Business Name | NUR BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 316 E BLOOMINGDALE AVE
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City | BRANDON
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State | FL
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Zip | 33511-8155
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Country | US
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Telephone | 656-222-0703
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Fax |
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Provider Business Mailing Address
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Address Line | 1112 LAKE HIGHVIEW LN
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City | BRANDON
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State | FL
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Zip | 33510-2142
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Country | US
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Telephone | 656-222-0703
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CORY MOHAMMED
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Credential |
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Telephone | 656-222-0703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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