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General NPI Number Information
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NPI Number | 1508933599
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Entity Type | Organization
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Legal Business Name | FAMILY BEHAVIORAL RESOURCES, INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 131 MATHEWS ST SUITE 2000
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City | GREENSBURG
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State | PA
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Zip | 15601-6939
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Country | US
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Telephone | 724-850-8118
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Fax | 724-850-9500
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Provider Business Mailing Address
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Address Line | 339 OLD HAYMAKER RD STE 209
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City | MONROEVILLE
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State | PA
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Zip | 15146-1684
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Country | US
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Telephone | 724-850-8118
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Fax | 724-850-9500
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Authorized Official
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Title or Position | CREDENTIALING
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Name | CHRISTINE BLOUGH
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Credential |
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Telephone | 724-438-3011
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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 | 422020
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0005X
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Taxonomy Name | Neurodevelopmental Disabilities Physician
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License Number | 422020
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 422020
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 422020
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 422020
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 436220
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License Number State | PA
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 422020
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License Number State | PA
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 436220
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License Number State | PA
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Taxonomy #9
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 422020
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License Number State | PA
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Taxonomy #10
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 332090
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License Number State | PA
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Taxonomy #11
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 332080
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License Number State | PA
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Taxonomy #12
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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 | 422020
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License Number State | PA
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Taxonomy #13
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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 | 436220
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License Number State | PA
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Taxonomy #14
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 422020
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License Number State | PA
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Taxonomy #15
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 422020
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License Number State | PA
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