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General NPI Number Information
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NPI Number | 1598626475
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Entity Type | Individual
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Provider Name | CHANSEREY PICH PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 3543 DREHER SHOALS RD
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City | IRMO
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State | SC
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Zip | 29063-7608
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Country | US
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Telephone | 803-977-4170
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Fax |
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Provider Business Mailing Address
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Address Line | 104 ALDERWOOD DR
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City | GREENSBURG
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State | PA
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Zip | 15601-5479
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Country | US
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Telephone | 724-691-6120
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 31217
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP034602
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License Number State | PA
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