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General NPI Number Information
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NPI Number | 1760297410
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH MANAGEMENT SYSTEMS
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Dates
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Enumeration Date | 02/10/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 12021 WILMINGTON AVE # POD5B
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City | LOS ANGELES
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State | CA
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Zip | 90059-3019
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Country | US
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Telephone | 615-971-3342
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 ALPINE BLVD
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City | ALPINE
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State | CA
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Zip | 91901-2113
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Country | US
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Telephone | 615-971-3342
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | EMILY BROOKE MCGEE
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Credential |
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Telephone | 615-971-3342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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