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General NPI Number Information
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NPI Number | 1871474783
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Entity Type | Organization
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Legal Business Name | SUPERIOR HEALTH AND BEHAVIORAL SERVICES
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 512 LA ENTRADA CIR
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City | SUNLAND PARK
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State | NM
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Zip | 88063-9633
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Country | US
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Telephone | 915-478-2440
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Fax |
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Provider Business Mailing Address
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Address Line | 512 LA ENTRADA CIR
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City | SUNLAND PARK
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State | NM
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Zip | 88063-9633
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Country | US
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Telephone | 915-478-2440
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JONATHAN CALEB TOVAR
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Credential | BSN-RN
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Telephone | 915-478-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) 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 | 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 #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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