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General NPI Number Information
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NPI Number | 1861737041
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Entity Type | Organization
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Legal Business Name | DECISIONPOINT BEHAVIORAL HEALTH, INC.
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 206 S BROADWAY SUITE 411A
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City | ROCHESTER
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State | MN
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Zip | 55904-6502
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Country | US
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Telephone | 507-261-7080
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Fax | 507-424-4432
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Provider Business Mailing Address
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Address Line | 206 S BROADWAY SUITE 411A
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City | ROCHESTER
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State | MN
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Zip | 55904-6502
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Country | US
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Telephone | 507-261-7080
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Fax | 507-424-4432
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Authorized Official
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Title or Position | PRINCIPAL/PRESIDENT
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Name | DR. DONALD EDWARD WILLIAMS
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Credential | PHD, LP, ABPP
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Telephone | 507-261-7080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | LP5520
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP1315
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License Number State | MN
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