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General NPI Number Information
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NPI Number | 1528887155
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Entity Type | Organization
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Legal Business Name | CAROLINAS PSYCHIATRIC INSTITUTE, PLLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 13950 BALLANTYNE CORPORATE PL STE 155
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City | CHARLOTTE
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State | NC
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Zip | 28277-3163
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Country | US
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Telephone | 346-670-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 13950 BALLANTYNE CORPORATE PL STE 155
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City | CHARLOTTE
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State | NC
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Zip | 28277-3163
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Country | US
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Telephone | 346-670-0033
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | DR. RITVIJ SATODIYA
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Credential | MD
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Telephone | 347-670-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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