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General NPI Number Information
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NPI Number | 1629432380
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL CONSULTATION SERVICES, INC.
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 1515 E CEDAR AVE STE A-6
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-1630
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Country | US
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Telephone | 800-771-9889
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Fax | 928-563-0048
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Provider Business Mailing Address
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Address Line | PO BOX 86537
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City | TUCSON
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State | AZ
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Zip | 85754-6537
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Country | US
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Telephone | 520-721-1887
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Fax | 520-721-0069
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | ROSE MARY LOPEZ
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Credential | MBA
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Telephone | 520-721-1887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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