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General NPI Number Information
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NPI Number | 1538871918
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Entity Type | Organization
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Legal Business Name | OUARICON BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 207 FIR STREET SUITE 200
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City | SISTERS
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State | OR
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Zip | 97759
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Country | US
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Telephone | 434-260-1582
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Fax | 401-561-2577
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Provider Business Mailing Address
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Address Line | 2515 N STANTON ST
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City | EL PASO
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State | TX
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Zip | 79902-3114
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Country | US
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Telephone | 434-260-1582
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Fax | 401-561-2577
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Authorized Official
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Title or Position | MEMBER
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Name | MR. MATTHEW TWOMEY
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Credential | NP
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Telephone | 434-260-1582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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