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General NPI Number Information
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NPI Number | 1730614975
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Entity Type | Organization
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Legal Business Name | SUPERIOR PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 1400 QUAIL ST 155
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2730
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Country | US
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Telephone | 949-222-9922
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Fax | 949-955-1955
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Provider Business Mailing Address
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Address Line | 1400 QUAIL ST 155
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2730
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Country | US
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Telephone | 949-222-9922
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Fax | 949-955-1955
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ALEXIS MESHI
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Credential |
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Telephone | 949-222-9922
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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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