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General NPI Number Information
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NPI Number | 1225851694
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Entity Type | Organization
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Legal Business Name | HAND UP PSYCHIATRY
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 5003 NORMANDY LN
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City | MEMPHIS
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State | TN
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Zip | 38117-2701
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Country | US
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Telephone | 901-883-6611
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Fax | 901-425-9939
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Provider Business Mailing Address
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Address Line | 5003 NORMANDY LN
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City | MEMPHIS
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State | TN
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Zip | 38117-2701
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Country | US
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Telephone | 901-883-6611
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Fax | 901-425-9939
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KIMBERLEY HATLER
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Credential | DNP, PMHNP-BC
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Telephone | 901-883-6611
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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 |
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License Number State |
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