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General NPI Number Information
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NPI Number | 1184001869
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PSYCHIATRIC CARE, PLLC
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Dates
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Enumeration Date | 05/01/2015
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 7161 LEE HWY SUITE 400
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City | CHATTANOOGA
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State | TN
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Zip | 37421-8608
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Country | US
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Telephone | 423-708-8670
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Fax | 423-708-8671
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Provider Business Mailing Address
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Address Line | 7161 LEE HWY SUITE 400
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City | CHATTANOOGA
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State | TN
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Zip | 37421-8608
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Country | US
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Telephone | 423-708-8670
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Fax | 423-708-8671
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEENA OLIVAS
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Credential |
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Telephone | 423-708-8670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4744
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 38569
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License Number State | TN
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