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General NPI Number Information
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NPI Number | 1962794156
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Entity Type | Organization
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Legal Business Name | COMPASS BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 05/06/2011
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Last Update Date | 05/06/2011
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Provider Practice Location Address
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Address Line | 1912 BOOTHE CIR SUITE 201
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City | LONGWOOD
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State | FL
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Zip | 32750-6709
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Country | US
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Telephone | 407-830-7903
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Fax | 407-767-0812
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Provider Business Mailing Address
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Address Line | 1912 BOOTHE CIR SUITE 201
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City | LONGWOOD
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State | FL
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Zip | 32750-6709
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Country | US
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Telephone | 407-830-7903
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Fax | 407-767-0812
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN B. HUFFER
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Credential | MS, LMHC, NCC
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Telephone | 407-830-7903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH7190
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License Number State | FL
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