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General NPI Number Information
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NPI Number | 1063415297
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Entity Type | Organization
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Legal Business Name | PARK VIEW PSYCHIATRIC SERVICES, PSC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 510 SPRING ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3554
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Country | US
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Telephone | 812-282-1888
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Fax | 812-218-9318
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Provider Business Mailing Address
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Address Line | 510 SPRING ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3554
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Country | US
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Telephone | 812-282-1888
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Fax | 812-218-9318
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN R. SHELTON
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Credential | M.D.
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Telephone | 812-282-1888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 50003891A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 50003891A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 50003891A
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License Number State | IN
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