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General NPI Number Information
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NPI Number | 1770795668
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Entity Type | Organization
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Legal Business Name | CLASSIC PSYCHIATRIC SERVICES, PLLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 3900 MONUMENT AVENUE SUITE F
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City | RICHMOND
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State | VA
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Zip | 23230-3955
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Country | US
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Telephone | 804-254-4624
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Fax | 804-254-4626
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Provider Business Mailing Address
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Address Line | 3900 MONUMENT AVENUE SUITE F
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City | RICHMOND
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State | VA
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Zip | 23230-3955
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Country | US
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Telephone | 804-254-4624
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Fax | 804-254-4626
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | DR. SYED HASSAN SAJID
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Credential | M.D.
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Telephone | 804-254-4624
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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 | 0101232717
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License Number State | VA
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