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General NPI Number Information
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NPI Number | 1790886075
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Entity Type | Organization
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Legal Business Name | ABINGDON PSYCHOLOGICAL SERVICES
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 845 EAST MAIN STREET
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City | ABINGDON
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State | VA
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Zip | 24210-4414
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Country | US
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Telephone | 276-676-1177
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Fax | 276-676-1027
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Provider Business Mailing Address
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Address Line | P.O. BOX 1535
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City | ABINGDON
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State | VA
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Zip | 24212-1535
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Country | US
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Telephone | 276-676-1177
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Fax | 276-676-1027
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Authorized Official
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Title or Position | PRESIDENT
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Name | RALPH DARRELL RAMSDEN
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Credential | PH.D.
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Telephone | 276-676-1177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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