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General NPI Number Information
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NPI Number | 1073994737
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Entity Type | Organization
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Legal Business Name | CA RMH PHYSICIAN SERVICES, PC
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 09/08/2017
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Provider Practice Location Address
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Address Line | 23823 MALIBU RD # 50-386
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City | MALIBU
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State | CA
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Zip | 90265-4628
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Country | US
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Telephone | 800-366-8101
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Fax | 561-697-4345
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Provider Business Mailing Address
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Address Line | 2300 WINDY RIDGE PKWY SE STE 210
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City | ATLANTA
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State | GA
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Zip | 30339-5665
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Country | US
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Telephone | 800-366-8101
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Fax | 561-697-4345
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Authorized Official
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Title or Position | DIRECTOR OF RCM
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Name | JEAN A DOCKERY
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Credential |
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Telephone | 561-253-4149
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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