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General NPI Number Information
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NPI Number | 1891135075
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Entity Type | Organization
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Legal Business Name | TMS THERAPY CLINIC, LLC
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 1637 E ROBINSON ST
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City | ORLANDO
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State | FL
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Zip | 32803-5932
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Country | US
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Telephone | 407-701-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 1637 E ROBINSON ST
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City | ORLANDO
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State | FL
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Zip | 32803-5932
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Country | US
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Telephone | 407-701-4500
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | JAMES SCHIVLEY
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Credential |
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Telephone | 407-461-4271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | EXEMPT
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License Number State | FL
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