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General NPI Number Information
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NPI Number | 1861914103
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Entity Type | Organization
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Legal Business Name | PSYCH DOCS, LLC
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 601 RENAISSANCE WAY
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City | RIDGELAND
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State | MS
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Zip | 39157-6038
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Country | US
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Telephone | 601-720-7605
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Fax | 601-605-9904
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Provider Business Mailing Address
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Address Line | 601 RENAISSANCE WAY
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City | RIDGELAND
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State | MS
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Zip | 39157-6038
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Country | US
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Telephone | 601-720-7605
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Fax | 601-605-9904
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | PARVEEN KUMAR
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Credential | MD
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Telephone | 601-605-9914
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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 | 15267
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License Number State | MS
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