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NPI 1619129541

NPI 1619129541 : ST. FRANCIS PSYCHIATRIST ,LLC : COLUMBUS, GA

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General NPI Number Information
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    NPI Number           |    1619129541
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    Entity Type          |    Organization 
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    Legal Business Name  |    ST. FRANCIS PSYCHIATRIST ,LLC 
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Dates
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    Enumeration Date     |    10/22/2008
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    Last Update Date     |    04/21/2015
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Provider Practice Location Address
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    Address Line         |    2000 16TH AVE 
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    City                 |    COLUMBUS
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    State                |    GA
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    Zip                  |    31901-1665
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    Country              |    US
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    Telephone            |    706-320-3700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 8824 
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    City                 |    COLUMBUS
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    State                |    GA
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    Zip                  |    31908-8824
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    Country              |    US
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    Telephone            |    706-320-3770
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO/SVP
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    Name                 |     GREG S. HEMBREE 
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    Credential           |    
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    Telephone            |    706-320-3751
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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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