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General NPI Number Information
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NPI Number | 1881837821
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Entity Type | Organization
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Legal Business Name | CLINICAL NEUROPSYCH, INC.
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Dates
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Enumeration Date | 04/07/2009
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 1217 HIGHWAY 367 N
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City | NEWPORT
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State | AR
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Zip | 72112-2513
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Country | US
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Telephone | 870-512-2168
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1391
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City | JONESBORO
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State | AR
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Zip | 72403-1391
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Country | US
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Telephone | 870-512-2168
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. HEATH MEEKS
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Credential | LCSW
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Telephone | 870-219-6312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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