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General NPI Number Information
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NPI Number | 1548233802
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Entity Type | Organization
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Legal Business Name | TWO RIVERS PSYCHIATRIC HOSPITAL INC
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | 5121 RAYTOWN RD
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City | KANSAS CITY
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State | MO
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Zip | 64133-2141
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Country | US
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Telephone | 816-356-5688
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Fax |
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Provider Business Mailing Address
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Address Line | 1 DUNWOODY PARK STE 230
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City | DUNWOODY
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State | GA
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Zip | 30338-7404
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Country | US
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Telephone | 678-684-5678
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Fax |
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Authorized Official
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Title or Position | CFO/SR VP
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 349-19
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License Number State | MO
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