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General NPI Number Information
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NPI Number | 1659614279
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PSYCHIATRIC SOLUTIONS LLC
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 666 GLENBROOK RD STE 1
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City | STAMFORD
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State | CT
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Zip | 06906-1439
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Country | US
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Telephone | 203-770-3018
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Fax | 203-569-3149
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Provider Business Mailing Address
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Address Line | 666 GLENBROOK RD STE 1
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City | STAMFORD
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State | CT
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Zip | 06906-1439
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Country | US
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Telephone | 203-770-3018
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Fax | 203-569-3149
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD KENNETH WEINER
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Credential | M.D.
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Telephone | 203-770-3018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 048197
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License Number State | CT
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