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General NPI Number Information
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NPI Number | 1619766169
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Entity Type | Organization
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Legal Business Name | PARALLEL PSYCHIATRY
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 1 MID AMERICA PLZ FL 3
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4450
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Country | US
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Telephone | 863-473-2083
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Fax | 919-578-5605
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Provider Business Mailing Address
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Address Line | 310 CLOVERDALE RD
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City | MONTGOMERY
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State | AL
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Zip | 36104-5610
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Country | US
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Telephone |
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Fax | 919-578-5605
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA MOODY
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Credential |
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Telephone | 863-473-2083
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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 |
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License Number State |
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