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General NPI Number Information
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NPI Number | 1639551690
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Entity Type | Organization
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Legal Business Name | DELTA BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 28260 US HIGHWAY 98 SUITE C
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City | DAPHNE
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State | AL
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Zip | 36526-7075
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Country | US
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Telephone | 251-375-1326
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Fax | 251-375-1327
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Provider Business Mailing Address
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Address Line | 28260 US HIGHWAY 98 SUITE C
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City | DAPHNE
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State | AL
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Zip | 36526-7075
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Country | US
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Telephone | 251-375-1326
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Fax | 251-375-1327
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Authorized Official
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Title or Position | OWNER
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Name | JANET L LINTON
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Credential | MD
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Telephone | 251-375-1326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | AL
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