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General NPI Number Information
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NPI Number | 1699630012
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Entity Type | Organization
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Legal Business Name | TANDEM BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 950 MARKET ST
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City | CHARLESTOWN
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State | IN
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Zip | 47111-1971
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Country | US
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Telephone | 502-536-9449
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Fax | 812-227-6994
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Provider Business Mailing Address
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Address Line | 950 MARKET ST
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City | CHARLESTOWN
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State | IN
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Zip | 47111-1971
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Country | US
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Telephone | 502-536-9449
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Fax | 812-227-6994
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Authorized Official
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Title or Position | MEMBER
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Name | HOPE HULING
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Credential | PSYD
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Telephone | 502-498-7453
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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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