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General NPI Number Information
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NPI Number | 1558086363
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Entity Type | Organization
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Legal Business Name | VETERANS PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 401 US HIGHWAY 62 S UNIT C
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City | HILLSBORO
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State | OH
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Zip | 45133-6754
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Country | US
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Telephone | 937-594-1142
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Fax | 937-860-2194
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Provider Business Mailing Address
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Address Line | 2370 WINDOM PEAK SMT
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City | CONNELLY SPRINGS
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State | NC
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Zip | 28612-8340
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Country | US
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Telephone | 937-594-1142
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Fax | 937-860-2194
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL BARNES
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Credential | APRN-CNP, PMHNP-BC
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Telephone | 937-594-1142
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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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