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General NPI Number Information
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NPI Number | 1245496777
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Entity Type | Organization
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Legal Business Name | NEW DAY PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 302 SUNSET DR SUITE 105
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2408
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Country | US
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Telephone | 423-282-1930
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Fax | 423-283-0608
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Provider Business Mailing Address
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Address Line | 302 SUNSET DR SUITE 105
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City | JOHNSON CITY
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State | TN
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Zip | 37604-2408
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Country | US
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Telephone | 423-282-1930
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Fax | 423-283-0608
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DANA BATES SKAGGS
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Credential | M.A.
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Telephone | 423-282-1930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PE1716
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License Number State | TN
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