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General NPI Number Information
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NPI Number | 1477213445
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 12/17/2021
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 300 MAIN STREET SUITE 21 #887
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City | MADISON
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State | NJ
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Zip | 07940-1040
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Country | US
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Telephone | 855-432-5365
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Fax |
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Provider Business Mailing Address
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Address Line | 300 MAIN STREET SUITE 21 #887
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City | MADISON
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State | NJ
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Zip | 07940-1040
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Country | US
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Telephone | 559-550-4325
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Fax | 559-550-4324
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. KAMAL KALSI
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Credential | DO
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Telephone | 925-570-1472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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 | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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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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Taxonomy #7
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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