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General NPI Number Information
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NPI Number | 1619118189
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Entity Type | Organization
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Legal Business Name | THE SPRINGBOARD CENTER
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 07/02/2020
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Provider Practice Location Address
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Address Line | 200 CORPORATE DRIVE
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City | MIDLAND
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State | TX
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Zip | 79705
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Country | US
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Telephone | 432-620-0255
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Fax | 432-620-8220
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Provider Business Mailing Address
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Address Line | 200 CORPORATE DRIVE
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City | MIDLAND
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State | TX
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Zip | 79705
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Country | US
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Telephone | 432-620-0255
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Fax | 432-620-8220
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Authorized Official
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Title or Position | FINANCE DIRECTOR/COMPLIANCE MANAGER
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Name | AMY YOUNG
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Credential |
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Telephone | 432-253-6613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 3143-3144
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License Number State | TX
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