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General NPI Number Information
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NPI Number | 1093709222
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Entity Type | Organization
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Legal Business Name | ABILENE PSYCHIATRIC CENTER INC
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Dates
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Enumeration Date | 09/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4225 WOODS PL
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City | ABILENE
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State | TX
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Zip | 79602-7991
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Country | US
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Telephone | 325-698-6600
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Fax | 325-698-8200
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Provider Business Mailing Address
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Address Line | PO BOX 5559
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City | ABILENE
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State | TX
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Zip | 79608-5559
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Country | US
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Telephone | 325-698-6600
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Fax | 325-698-8200
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JEROME R KEARNEY
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Credential |
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Telephone | 940-642-7460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 007827
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License Number State | TX
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