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General NPI Number Information
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NPI Number | 1922133115
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Entity Type | Organization
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Legal Business Name | NEUROBEHAVIORAL SERVICES OF NEW ENGLAND, PC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 335 BRIGHTON AVENUE UNIT 201
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City | PORTLAND
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State | ME
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Zip | 04102-2374
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Country | US
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Telephone | 207-662-8660
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Fax | 207-662-8492
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Provider Business Mailing Address
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Address Line | 335 BRIGHTON AVENUE UNIT 201
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City | PORTLAND
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State | ME
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Zip | 04102-2374
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Country | US
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Telephone | 207-662-8660
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Fax | 207-662-8492
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Authorized Official
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Title or Position | PRESIDENT
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Name | PHILIP ALLEN MORSE
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Credential | PH.D.
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Telephone | 207-662-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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