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General NPI Number Information
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NPI Number | 1831881705
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Entity Type | Organization
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Legal Business Name | THRIVE PSYCHIATRY LLC
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 425 W CAPITOL AVE STE 1235
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3405
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Country | US
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Telephone | 501-291-2764
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Fax |
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Provider Business Mailing Address
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Address Line | 425 W CAPITOL AVE STE 1235
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City | LITTLE ROCK
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State | AR
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Zip | 72201-3405
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Country | US
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Telephone | 501-291-2764
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. FAHIM RASUL
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Credential | DO
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Telephone | 858-775-6783
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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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