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General NPI Number Information
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NPI Number | 1194179069
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Entity Type | Organization
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Legal Business Name | NORTH STAR PSYCHIATRY PLLC
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Dates
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Enumeration Date | 04/18/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 8201 OHIO DR STE 112
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City | PLANO
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State | TX
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Zip | 75024-2358
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Country | US
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Telephone | 516-724-5435
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Fax |
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Provider Business Mailing Address
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Address Line | 712 SHREWSBURY PL
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City | PLANO
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State | TX
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Zip | 75074-0138
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Country | US
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Telephone | 516-724-1259
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | HUSNAIN ASHRAF
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Credential |
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Telephone | 516-724-5435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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