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General NPI Number Information
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NPI Number | 1417641994
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Entity Type | Organization
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Legal Business Name | MESMERIZE PSYCHIATRIC SERVICES L.L.C.
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 06/07/2023
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Provider Practice Location Address
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Address Line | 4770 INDIANOLA AVE STE 111
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City | COLUMBUS
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State | OH
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Zip | 43214-1862
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Country | US
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Telephone | 614-407-5152
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Fax |
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Provider Business Mailing Address
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Address Line | 1032 S REMINGTON RD
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City | BEXLEY
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State | OH
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Zip | 43209-2460
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Country | US
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Telephone | 614-499-3200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PROF. CHRISTOPHER MESSMER
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Credential | PMHNP
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Telephone | 614-407-5152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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