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General NPI Number Information
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NPI Number | 1750348579
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Entity Type | Organization
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Legal Business Name | COMMUNITY BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 820 S MARTIN LUTHER KING JR BLVD
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City | HAMILTON
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State | OH
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Zip | 45011-3216
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Country | US
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Telephone | 513-887-8500
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Fax |
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Provider Business Mailing Address
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Address Line | 230 LUDLOW ST
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City | HAMILTON
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State | OH
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Zip | 45011-2903
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Country | US
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Telephone | 513-785-4782
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Fax | 513-785-4789
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | LAURA SHEEHAN
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Credential |
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Telephone | 513-785-4782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 10993
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number | 02-1311500
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0481
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License Number State | OH
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