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General NPI Number Information
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NPI Number | 1508434259
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Entity Type | Organization
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Legal Business Name | BHCONSULTATION, LLC
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 624 E MAIN ST
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City | LANCASTER
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State | OH
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Zip | 43130-3903
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Country | US
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Telephone | 740-475-0488
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Fax | 740-409-6976
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Provider Business Mailing Address
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Address Line | 3527 PARADISE RD
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City | SUGAR GROVE
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State | OH
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Zip | 43155-9648
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Country | US
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Telephone | 740-243-0740
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | BRADLEY ALAN HEDGES
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Credential | PHD
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Telephone | 740-475-0488
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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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