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General NPI Number Information
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NPI Number | 1538731385
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Entity Type | Organization
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Legal Business Name | PEARL CITY PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 228 W 2ND ST
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City | MUSCATINE
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State | IA
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Zip | 52761-3738
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Country | US
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Telephone | 563-278-2796
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 LETAVILLE DR
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City | MUSCATINE
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State | IA
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Zip | 52761-8611
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Country | US
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Telephone | 563-260-2078
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH NURSE PRACTITIONER
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Name | LINDSAY MARIE CHICK
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Credential | MSN, ARNP, PMHNP-BC
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Telephone | 563-278-2796
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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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