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General NPI Number Information
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NPI Number | 1710312061
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Entity Type | Organization
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Legal Business Name | CHASE BEHAVIOR SOLUTIONS LLC
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 09/05/2013
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Provider Practice Location Address
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Address Line | 10203 BIRCHRIDGE DR 230
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City | HUMBLE
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State | TX
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Zip | 77338-2200
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Country | US
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Telephone | 713-936-4234
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 KINGS RETREAT CIR
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City | KINGWOOD
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State | TX
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Zip | 77345-5600
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Country | US
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Telephone | 281-713-2660
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PAULETTE TORRES
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Credential |
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Telephone | 281-713-2660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1119037
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License Number State | TX
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