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General NPI Number Information
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NPI Number | 1851926851
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Entity Type | Organization
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Legal Business Name | AAS COMMUNITY BEHAVIORAL SERVICES INC.
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Dates
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Enumeration Date | 03/10/2020
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 1627 E VINE ST STE 133
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City | KISSIMMEE
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State | FL
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Zip | 34744-3708
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Country | US
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Telephone | 407-552-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 4044 MEADOWLARK DR
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City | KISSIMMEE
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State | FL
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Zip | 34746-2004
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Country | US
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Telephone | 407-552-2502
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALYSIA ROBERTA REYNOLDS
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Credential |
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Telephone | 407-552-2502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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