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General NPI Number Information
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NPI Number | 1679345854
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Entity Type | Organization
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Legal Business Name | MONARCH BEHAVIORAL THERAPY BII, LLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 14950 W 64TH AVE STE C
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City | ARVADA
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State | CO
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Zip | 80007-8291
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Country | US
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Telephone | 855-782-7822
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Fax |
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Provider Business Mailing Address
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Address Line | 15851 DALLAS PKWY STE 1150
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City | ADDISON
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State | TX
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Zip | 75001-3325
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Country | US
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Telephone | 972-850-0265
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Fax |
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER
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Name | CARLA EDWARDS
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Credential |
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Telephone | 855-782-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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