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General NPI Number Information
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NPI Number | 1720472145
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Entity Type | Organization
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Legal Business Name | PARTNERS FOR ATTENTION AND LEARNING - BH, LLC
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 50 LAFAYETTE ST
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City | STAFFORD
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State | VA
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Zip | 22554-7699
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Country | US
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Telephone | 540-845-6577
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Fax |
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Provider Business Mailing Address
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Address Line | 2128 JEFFERSON DAVIS HWY SUITE 201
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City | STAFFORD
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State | VA
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Zip | 22554-7293
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Country | US
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Telephone | 540-628-4145
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Fax | 540-628-4192
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JONI JOHNSON
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Credential | M.D.
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Telephone | 540-628-4145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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