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General NPI Number Information
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NPI Number | 1588672885
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH CARE MANAGEMENT SYSTEMS
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2917 N PINE HILLS RD
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City | ORLANDO
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State | FL
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Zip | 32808-3539
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Country | US
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Telephone | 407-521-6141
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Fax | 407-521-6651
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Provider Business Mailing Address
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Address Line | 1939 TYLER ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020-4516
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Country | US
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Telephone | 954-926-6020
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Fax | 954-926-6362
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Authorized Official
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Title or Position | CEO
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Name | MR. RAY BERRY
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Credential |
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Telephone | 954-926-6020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | FL
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