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General NPI Number Information
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NPI Number | 1215292941
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC SERVICES OF COLUMBIA
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 323 DALE ST
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City | COLUMBIA
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State | MS
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Zip | 39429-2745
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Country | US
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Telephone | 601-543-6932
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Fax | 877-549-2125
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Provider Business Mailing Address
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Address Line | 323 DALE ST
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City | COLUMBIA
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State | MS
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Zip | 39429-2745
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Country | US
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Telephone | 601-543-6932
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Fax | 877-549-2125
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. ROBIN MILTON MAGEE
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Credential |
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Telephone | 601-441-0874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 04015
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License Number State | MS
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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 | 04015
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License Number State | MS
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