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General NPI Number Information
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NPI Number | 1447771084
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Entity Type | Organization
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Legal Business Name | 24/7 PSYCHIATRY & MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4932 BARN OWL TRL
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City | GRAND PRAIRIE
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State | TX
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Zip | 75052-1963
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Country | US
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Telephone | 682-559-2160
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Fax | 817-294-9611
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Provider Business Mailing Address
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Address Line | 1201 N WATSON RD STE 265
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City | ARLINGTON
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State | TX
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Zip | 76006-6286
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Country | US
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Telephone | 682-559-2160
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Fax | 817-294-9611
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Authorized Official
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Title or Position | PSYCHIATRY PHYSICIAN ASSISTANT
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Name | MR. CHRISTOPHER A INEAMA
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Credential | MS
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Telephone | 682-559-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 05609
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 05609
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 05609
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License Number State | TX
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