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General NPI Number Information
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NPI Number | 1568262723
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Entity Type | Organization
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Legal Business Name | RIVER REGION PSYCHIATRY ASSOCIATES LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 1048 ASHLEY ST STE 201
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City | BOWLING GREEN
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State | KY
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Zip | 42103-2449
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Country | US
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Telephone | 270-205-4585
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Fax |
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Provider Business Mailing Address
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Address Line | 233 WINTON BLOUNT LOOP
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City | MONTGOMERY
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State | AL
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Zip | 36117-3507
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Country | US
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Telephone | 334-239-2622
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANKAR B YALAMANCHILI
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Credential | MD
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Telephone | 334-239-2622
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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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