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General NPI Number Information
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NPI Number | 1902255359
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Entity Type | Organization
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Legal Business Name | US PSYCHIATRY PLLC
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 14706 FOREST OAKS DR
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City | LOUISVILLE
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State | KY
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Zip | 40245-4695
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Country | US
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Telephone | 502-419-0410
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Fax | 502-470-9997
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Provider Business Mailing Address
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Address Line | PO BOX 639188
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City | CINCINNATI
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State | OH
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Zip | 45263-9188
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Country | US
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Telephone | 502-419-0410
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Fax | 502-470-9997
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Authorized Official
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Title or Position | OWNER
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Name | SUNIL CHHIBBER
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Credential | MD
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Telephone | 502-419-0410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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