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General NPI Number Information
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NPI Number | 1952097131
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Entity Type | Organization
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Legal Business Name | BJT BEHAVIORAL HEALTH CENTER
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 3838 D PL SE APT 1
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City | AUBURN
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State | WA
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Zip | 98002-8696
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Country | US
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Telephone | 469-740-3341
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 HAWTHORNE ST
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City | FRISCO
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State | TX
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Zip | 75034-5632
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Country | US
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Telephone | 469-450-7164
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OSAYANDE ALFRED-IYAMU
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Credential | PMHNP
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Telephone | 469-450-7164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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