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General NPI Number Information
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NPI Number | 1326591165
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Entity Type | Organization
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Legal Business Name | PSYCHOLOGICAL MANAGEMENT SERVICES
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 9159 SNOW HILL CT
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City | CHARLOTTE
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State | NC
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Zip | 28269-6123
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Country | US
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Telephone | 704-231-6927
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Fax |
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Provider Business Mailing Address
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Address Line | 9159 SNOW HILL CT
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City | CHARLOTTE
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State | NC
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Zip | 28269-6123
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Country | US
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Telephone | 704-231-6927
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES PINCKNEY
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Credential |
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Telephone | 704-321-6927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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