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General NPI Number Information
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NPI Number | 1750259404
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Entity Type | Organization
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Legal Business Name | NEUROSCIENCE AND BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 550 W. DATE STREET, #508
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City | SAN DIEGO
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State | CA
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Zip | 92101
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Country | US
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Telephone | 858-245-9753
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Fax |
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Provider Business Mailing Address
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Address Line | 550 W. DATE STREET, #508
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City | SAN DIEGO
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State | CA
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Zip | 92101
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Country | US
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Telephone | 858-245-9753
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GRAHAM SCANLON
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Credential | M.D.
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Telephone | 858-245-9753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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