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General NPI Number Information
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NPI Number | 1124852090
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Entity Type | Organization
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Legal Business Name | NEW CHAPTER TMS LLC
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Dates
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Enumeration Date | 08/31/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 140 S ARTHUR ST STE 506
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City | SPOKANE
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State | WA
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Zip | 99202-2260
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Country | US
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Telephone | 509-934-0245
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Fax | 612-439-7181
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Provider Business Mailing Address
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Address Line | 20006 E KNOX CT
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City | LIBERTY LAKE
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State | WA
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Zip | 99016-9222
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Country | US
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Telephone | 509-953-6381
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIIRA MAUREEN TIETJEN
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Credential | DNP ARNP PMHNP
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Telephone | 509-953-6381
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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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