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General NPI Number Information
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NPI Number | 1659905826
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Entity Type | Organization
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Legal Business Name | GEM CITY BEHAVIORAL SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 4134 LINDEN AVE
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City | DAYTON
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State | OH
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Zip | 45432-3043
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Country | US
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Telephone | 937-750-8236
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Fax | 937-600-6071
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Provider Business Mailing Address
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Address Line | 1628 E DOROTHY LN
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City | KETTERING
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State | OH
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Zip | 45429-3810
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Country | US
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Telephone | 937-365-7455
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Fax | 937-600-6071
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM M SLUSSER III
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Credential | BCBA
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Telephone | 937-365-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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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 |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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