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General NPI Number Information
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NPI Number | 1780307538
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH SOLUTIONS
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 8080 OLD YORK RD STE 208
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City | ELKINS PARK
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State | PA
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Zip | 19027-1425
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Country | US
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Telephone | 267-343-8753
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Fax |
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Provider Business Mailing Address
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Address Line | 6313 HASBROOK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19111-5603
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Country | US
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Telephone | 267-343-8753
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Fax |
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | ELISSARH JACKSON
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Credential |
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Telephone | 267-343-8753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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