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NPI 1659081198

NPI 1659081198 : SS PSYCHIATRY HEALTH INC : ROCKWALL, TX

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General NPI Number Information
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    NPI Number           |    1659081198
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    Entity Type          |    Organization 
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    Legal Business Name  |    SS PSYCHIATRY HEALTH INC 
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Dates
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    Enumeration Date     |    11/23/2022
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    Last Update Date     |    01/16/2024
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Provider Practice Location Address
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    Address Line         |    601 WHITE HILLS DR STE 100 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75087-5527
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    Country              |    US
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    Telephone            |    972-772-3630
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    601 WHITE HILLS DR STE 100 
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    City                 |    ROCKWALL
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    State                |    TX
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    Zip                  |    75087-5527
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    Country              |    US
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    Telephone            |    972-772-3630
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     MOHNNAD  SHEIKHA 
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    Credential           |    
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    Telephone            |    214-214-4925
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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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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    
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    License Number State |    
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