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General NPI Number Information
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NPI Number | 1659382703
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Entity Type | Organization
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Legal Business Name | HIGHLAND BEHAVIORAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 511 MORRIS STREET
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City | CHARLESTON
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State | WV
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Zip | 25301
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Country | US
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Telephone | 304-341-0511
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Fax | 304-341-0197
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Provider Business Mailing Address
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Address Line | PO BOX 4009
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City | CHARLESTON
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State | WV
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Zip | 25364-4009
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Country | US
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Telephone | 304-348-1288
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Fax | 304-348-1262
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Authorized Official
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Title or Position | CEO
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Name | DAVID M MCWATTERS III
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Credential |
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Telephone | 304-348-1288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1447
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License Number State | WV
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