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General NPI Number Information
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NPI Number | 1841645934
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC MANAGEMENT, LLC
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 2725 S JONES BLVD SUITE 104
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City | LAS VEGAS
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State | NV
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Zip | 89146-5667
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Country | US
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Telephone | 405-840-1999
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Fax | 405-848-3298
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Provider Business Mailing Address
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Address Line | 4900 RICHMOND SQ SUITE 102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-2028
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Country | US
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Telephone | 405-840-1999
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Fax | 405-848-3298
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Authorized Official
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Title or Position | OWNER
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Name | DAVID E LINDEN
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Credential | M.D.
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Telephone | 405-840-1999
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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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