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General NPI Number Information
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NPI Number | 1194742957
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC CONSULTANTS LLC
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 6 BUSINESS PARK DR. SUITE 203 A
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City | BRANFORD
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State | CT
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Zip | 06405
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Country | US
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Telephone | 203-483-5300
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Fax | 203-483-6400
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Provider Business Mailing Address
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Address Line | 6 BUSINESS PARK DR. SUITE 203 A
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City | BRANFORD
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State | CT
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Zip | 06405
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Country | US
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Telephone | 203-483-5300
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Fax | 203-483-6400
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES JOSEPH CIARCIA
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Credential | MD
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Telephone | 203-483-5300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 25093
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 1766
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 022385
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License Number State | CT
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