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General NPI Number Information
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NPI Number | 1306643978
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Entity Type | Organization
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Legal Business Name | POINSETT PSYCHIATRIC INNOVATIONS,PA
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 414 PETTIGRU ST STE C
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City | GREENVILLE
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State | SC
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Zip | 29601-3164
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Country | US
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Telephone | 864-404-9706
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Fax | 864-438-4744
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Provider Business Mailing Address
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Address Line | 414 PETTIGRU ST STE C
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City | GREENVILLE
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State | SC
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Zip | 29601-3164
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Country | US
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Telephone | 864-404-9706
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Fax | 864-438-4744
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Authorized Official
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Title or Position | PRACTICE MANAGGER
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Name | MS. JOANNE B GABRIEL
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Credential | MBA
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Telephone | 864-404-9706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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