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General NPI Number Information
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NPI Number | 1710537295
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Entity Type | Organization
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Legal Business Name | GRAY MD PSYCHIATRY, LLC
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Dates
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Enumeration Date | 09/16/2019
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Last Update Date | 09/16/2019
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Provider Practice Location Address
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Address Line | 5318 PATTERSON AVE STE E
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City | RICHMOND
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State | VA
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Zip | 23226-2044
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Country | US
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Telephone | 804-482-0464
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Fax | 805-624-4479
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Provider Business Mailing Address
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Address Line | 5318 PATTERSON AVE STE E
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City | RICHMOND
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State | VA
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Zip | 23226-2044
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Country | US
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Telephone | 804-482-0464
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Fax | 805-624-4479
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Authorized Official
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Title or Position | FOUNDER/PRESIDENT
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Name | DR. RASHIDA GRAY
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Credential | MD
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Telephone | 804-482-0464
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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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