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General NPI Number Information
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NPI Number | 1730065707
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Entity Type | Organization
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Legal Business Name | THRIVE PSYCHIATRIC CARE PLLC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 10692 BRIGHT WILLOW LN
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City | VIENNA
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State | VA
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Zip | 22181-2847
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Country | US
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Telephone | 937-424-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 10692 BRIGHT WILLOW LN
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City | VIENNA
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State | VA
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Zip | 22181-2847
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Country | US
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Telephone | 937-424-1000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMITA R PATEL
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Credential | MD
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Telephone | 937-424-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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