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General NPI Number Information
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NPI Number | 1538887419
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSESSMENT SOLUTIONS, PLLC
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Dates
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Enumeration Date | 08/17/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 5957 GALVESTON RD
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City | BELTON
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State | TX
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Zip | 76513-8496
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Country | US
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Telephone | 317-402-9363
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Fax |
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Provider Business Mailing Address
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Address Line | 5957 GALVESTON RD
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City | BELTON
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State | TX
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Zip | 76513-8496
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Country | US
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Telephone | 317-402-9363
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH GAINES
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Credential | APRN, PMHNP-BC
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Telephone | 317-402-9363
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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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