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General NPI Number Information
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NPI Number | 1912387184
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 2835 S SERVICE DR SUITE 203
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City | RED WING
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State | MN
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Zip | 55066-1882
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Country | US
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Telephone | 651-388-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 2835 S SERVICE DR SUITE 203
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City | RED WING
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State | MN
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Zip | 55066-1882
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Country | US
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Telephone | 651-388-0051
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. SCOTT LEE SCHAUSS
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Credential | PH.D., LP
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Telephone | 651-388-0051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 10968
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 10968
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License Number State | MN
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