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General NPI Number Information
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NPI Number | 1285087924
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Entity Type | Organization
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Legal Business Name | PYRIMAD PSYCHIATRIC SERVICES AND HEALTH CARE MANAGEMENT SOLUTIONS
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 07/18/2016
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Provider Practice Location Address
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Address Line | 123 S 9TH ST #5694
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City | DE PERE
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State | WI
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Zip | 54115-4475
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Country | US
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Telephone | 920-632-2248
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Fax | 920-351-4826
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Provider Business Mailing Address
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Address Line | 123 S 9TH ST #5694
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City | DE PERE
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State | WI
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Zip | 54115-4475
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Country | US
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Telephone | 920-632-2248
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Fax | 920-351-4826
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KAYLA ROWELL
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Credential |
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Telephone | 920-632-2248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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