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General NPI Number Information
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NPI Number | 1699019810
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Entity Type | Organization
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Legal Business Name | CHS PSYCHIATRIC ASSOCIATES LLC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 255 KING STREET #8
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City | CHARLESTON
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State | SC
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Zip | 29401
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Country | US
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Telephone | 843-469-1608
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Fax |
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Provider Business Mailing Address
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Address Line | 255 KING ST # 8
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City | CHARLESTON
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State | SC
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Zip | 29401-1435
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Country | US
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Telephone | 843-469-1608
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AJAY SOOD
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Credential | MD
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Telephone | 843-469-1608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 30203
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License Number State | SC
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