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General NPI Number Information
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NPI Number | 1124385083
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN PSYCHIATRIC MANAGEMENT. INC.
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Dates
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Enumeration Date | 04/17/2012
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 3001 SCENIC HWY
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City | GADSDEN
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State | AL
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Zip | 35904-3047
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Country | US
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Telephone | 256-546-9265
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Fax | 256-549-0376
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Provider Business Mailing Address
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Address Line | 3001 SCENIC HWY
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City | GADSDEN
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State | AL
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Zip | 35904-3047
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Country | US
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Telephone | 256-546-9265
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Fax | 256-549-0376
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Authorized Official
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Title or Position | CEO
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Name | DR. GEORGE M SHEHI SR.
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Credential | M.D.
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Telephone | 256-546-9265
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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 | H2802
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License Number State | AL
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