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General NPI Number Information
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NPI Number | 1750987186
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Entity Type | Organization
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Legal Business Name | BOUNDLESS BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 12/10/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 445 E DUBLIN GRANVILLE RD BLD G
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City | WORTHINGTON
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State | OH
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Zip | 43085-3192
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Country | US
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Telephone | 614-844-3800
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Fax | 614-515-5779
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Provider Business Mailing Address
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Address Line | 445 E DUBLIN GRANVILLE RD
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City | WORTHINGTON
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State | OH
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Zip | 43085-3192
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Country | US
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Telephone | 614-844-3800
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Fax | 614-515-5779
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Authorized Official
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Title or Position | REIMBURSEMENT MANAGER
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Name | MICHELLE BARNER
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Credential |
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Telephone | 614-844-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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