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General NPI Number Information
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NPI Number | 1821066796
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Entity Type | Organization
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Legal Business Name | ALLWELL BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 1375 COMMERCE DR
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City | NEW LEXINGTON
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State | OH
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Zip | 43764-9511
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Country | US
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Telephone | 740-454-9766
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Fax | 740-588-6452
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Provider Business Mailing Address
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Address Line | 2845 BELL ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-1720
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Country | US
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Telephone | 740-454-9766
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Fax | 740-588-6452
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | JAMES A MCDONALD
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Credential | MA
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Telephone | 740-454-9766
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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