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General NPI Number Information
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NPI Number | 1689377608
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Entity Type | Organization
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Legal Business Name | MH TX OPTIONS LLC
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Dates
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Enumeration Date | 03/27/2023
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 1 EVES DR STE 111
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City | MARLTON
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State | NJ
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Zip | 08053-3125
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Country | US
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Telephone | 908-333-8513
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1010
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City | BRISTOL
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State | PA
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Zip | 19007-1010
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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 | PRESIDENT/ CEO
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Name | KIYANA BASS
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Credential |
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Telephone | 267-563-8795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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