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General NPI Number Information
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NPI Number | 1285053058
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Entity Type | Organization
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Legal Business Name | TMS CENTER OF LEXINGTON, PLLC
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Dates
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Enumeration Date | 04/09/2014
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Last Update Date | 12/29/2016
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Provider Practice Location Address
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Address Line | 1000 MONARCH ST STE 280
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City | LEXINGTON
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State | KY
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Zip | 40513-1494
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Country | US
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Telephone | 859-455-6715
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Fax |
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Provider Business Mailing Address
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Address Line | 9378 S MASON MONTGOMERY RD STE 102
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City | MASON
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State | OH
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Zip | 45040-8827
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Country | US
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Telephone | 859-455-6715
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Fax |
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Authorized Official
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Title or Position | COO
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Name | EFRAIN A MIRANDA
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Credential |
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Telephone | 859-455-6715
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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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