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General NPI Number Information
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NPI Number | 1871733287
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Entity Type | Organization
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Legal Business Name | PATHWAYS BEHAVIORAL SERVICES INC
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 209 2ND AVE NE
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City | INDEPENDENCE
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State | IA
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Zip | 50644-1904
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Country | US
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Telephone | 319-334-6163
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Fax | 319-334-4035
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Provider Business Mailing Address
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Address Line | 209 2ND AVE NE
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City | INDEPENDENCE
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State | IA
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Zip | 50644-1904
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Country | US
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Telephone | 319-334-6163
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Fax | 319-334-4035
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. DAVID ALAN BECKER
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Credential | CPA
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Telephone | 319-235-6571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | IA
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