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General NPI Number Information
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NPI Number | 1346155827
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Entity Type | Organization
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Legal Business Name | OPTIM258
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 9205 ENCLAVE GREEN LANE
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City | EAST GERMANTOWN
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State | TN
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Zip | 38139
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Country | US
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Telephone | 901-262-1476
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Fax |
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Provider Business Mailing Address
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Address Line | 9205 ENCLAVE GREEN LANE E.
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City | GERMANTOWN
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State | TN
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Zip | 38139
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Country | US
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Telephone | 901-262-1476
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/ DIRECTOR
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Name | DR. ANNIE NAIK GADIPARTHI
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Credential | M.D.
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Telephone | 901-361-4303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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