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General NPI Number Information
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NPI Number | 1972323152
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Entity Type | Organization
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Legal Business Name | TIERED SOLUTIONS LLC
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 3562 E US HIGHWAY 30
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City | WARSAW
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State | IN
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Zip | 46580-6720
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Country | US
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Telephone | 574-252-1922
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Fax |
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Provider Business Mailing Address
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Address Line | 748 DOGWOOD LN
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City | WARSAW
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State | IN
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Zip | 46582-1905
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Country | US
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Telephone | 574-252-1922
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Fax |
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Authorized Official
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Title or Position | MANAGER/SCHOOL PSYCHOLOGIST
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Name | JONNA WATSON
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Credential | ED.S.
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Telephone | 574-252-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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