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General NPI Number Information
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NPI Number | 1588838668
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Entity Type | Organization
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Legal Business Name | CHRISTIAN PSYCHIATRIC SVCS PLC
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 2645 APPLING RD 103
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City | BARTLETT
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State | TN
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Zip | 38133
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Country | US
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Telephone | 901-372-0914
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Fax | 901-372-9723
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Provider Business Mailing Address
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Address Line | 2645 APPLING RD 103
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City | BARTLETT
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State | TN
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Zip | 38133
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Country | US
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Telephone | 901-372-0914
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Fax | 901-372-9723
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Authorized Official
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Title or Position | OWNER
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Name | DR. VALERIE LOUISE AUGUSTUS
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Credential | MD
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Telephone | 901-372-0914
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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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