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General NPI Number Information
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NPI Number | 1619644358
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Entity Type | Organization
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Legal Business Name | ACCELERATED PSYCHIATRY, SC
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Dates
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Enumeration Date | 08/29/2021
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 6502 GRAND TETON PLZ STE 107
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City | MADISON
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State | WI
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Zip | 53719-1047
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Country | US
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Telephone | 608-820-1570
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Fax | 608-305-8848
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Provider Business Mailing Address
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Address Line | 6502 GRAND TETON PLZ STE 107
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City | MADISON
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State | WI
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Zip | 53719-1047
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Country | US
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Telephone | 608-820-1570
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Fax | 608-305-8848
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRENDON NACEWICZ
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Credential |
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Telephone | 608-820-1570
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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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