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General NPI Number Information
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NPI Number | 1659802122
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Entity Type | Organization
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Legal Business Name | WESTSIDE BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 03/25/2017
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Last Update Date | 03/25/2017
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Provider Practice Location Address
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Address Line | 24600 CENTER RIDGE RD BUILDING 3, SUITE 130
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City | WESTLAKE
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State | OH
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Zip | 44145-5638
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Country | US
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Telephone | 216-295-5624
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Fax |
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Provider Business Mailing Address
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Address Line | 2660 GLENMORE DR
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City | WESTLAKE
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State | OH
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Zip | 44145-3928
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ERIN CARTER
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Credential | PHD
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Telephone | 859-512-9921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 7303
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7303
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License Number State | OH
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