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General NPI Number Information
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NPI Number | 1063233575
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Entity Type | Organization
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Legal Business Name | GEM PSYCHIATRY
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3804 BEAUMONT LN
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City | PLANO
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State | TX
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Zip | 75023-1017
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Country | US
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Telephone | 469-423-9157
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Fax |
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Provider Business Mailing Address
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Address Line | 3001 S HARDIN BLVD STE 110 #103
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City | MCKINNEY
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State | TX
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Zip | 75070-7702
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Country | US
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Telephone | 469-423-9157
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | RACHAEL DANIEL
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Credential |
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Telephone | 469-423-9157
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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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