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General NPI Number Information
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NPI Number | 1174715908
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC CONSULTANTS OF CARY
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 200 KEISLER DR SUITE, A
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City | CARY
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State | NC
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Zip | 27518-8801
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Country | US
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Telephone | 919-859-5565
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Fax |
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Provider Business Mailing Address
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Address Line | 200 KEISLER DR SUITE A
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City | CARY
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State | NC
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Zip | 27518-8801
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Country | US
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Telephone | 919-859-5565
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Fax |
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Authorized Official
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Title or Position | MEMBER OF PLLC
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Name | DR. UZMA S FAHEEM
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Credential | MD
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Telephone | 919-859-5565
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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 | 2006-00607
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License Number State | NC
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