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NPI 1639015811

NPI 1639015811 : MODERN PSYCHIATRY AL PC : MOBILE, AL

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General NPI Number Information
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    NPI Number           |    1639015811
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    Entity Type          |    Organization 
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    Legal Business Name  |    MODERN PSYCHIATRY AL PC 
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Dates
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    Enumeration Date     |    04/28/2026
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    Last Update Date     |    04/28/2026
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Provider Practice Location Address
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    Address Line         |    1621 S UNIVERSITY BLVD STE A1 
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    City                 |    MOBILE
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    State                |    AL
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    Zip                  |    36609-2944
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    Country              |    US
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    Telephone            |    732-831-6094
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    40 BEY LEA RD STE C101 
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    City                 |    TOMS RIVER
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    State                |    NJ
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    Zip                  |    08753-2900
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    Country              |    US
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    Telephone            |    732-831-6094
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. FELIX ARON GELLER 
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    Credential           |    
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    Telephone            |    903-721-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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