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General NPI Number Information
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NPI Number | 1952652554
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL HEALTH PC
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Dates
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Enumeration Date | 09/24/2012
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Last Update Date | 09/24/2012
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Provider Practice Location Address
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Address Line | 1229 SCENERY DR
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City | MECHANICSBURG
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State | PA
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Zip | 17050
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Country | US
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Telephone | 717-796-6550
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Fax | 717-796-6551
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Provider Business Mailing Address
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Address Line | 1229 SCENERY DR
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City | MECHANICSBURG
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State | PA
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Zip | 17050
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Country | US
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Telephone | 717-796-6550
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Fax | 717-796-6551
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | DR. RAYMOND SIMON KLEIN
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Credential | ED.D
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Telephone | 717-796-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2667429
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2667429
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2667429
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License Number State | PA
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