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General NPI Number Information
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NPI Number | 1013420504
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Entity Type | Organization
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Legal Business Name | INTEGRITY BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 951 MARKET ST STE 205
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City | FORT MILL
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State | SC
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Zip | 29708-6529
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Country | US
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Telephone | 803-328-8255
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Fax | 800-598-6601
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Provider Business Mailing Address
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Address Line | 951 MARKET ST STE 205
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City | FORT MILL
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State | SC
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Zip | 29708-6529
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Country | US
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Telephone | 803-372-8585
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Fax | 800-598-6601
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Authorized Official
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Title or Position | MEDICAL DIRECTOR- PSYCHIATRIST
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Name | MAHIR I SHAH
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Credential | M.D.
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Telephone | 803-372-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 21001
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License Number State | SC
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