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General NPI Number Information
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NPI Number | 1720945660
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Entity Type | Organization
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Legal Business Name | TENNESSEE MENTAL HEALTH AND PSYCHIATRY GROUP, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5409 MARYLAND WAY STE 202
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City | BRENTWOOD
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State | TN
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Zip | 37027-1084
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Country | US
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Telephone | 615-373-9955
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 ROCKSIDE RD STE 950
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City | INDEPENDENCE
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State | OH
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Zip | 44131-6814
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | BORIS ROYAK
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Credential | MD
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Telephone | 615-373-9955
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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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