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General NPI Number Information
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NPI Number | 1902965882
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC CARE CENTER
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 300 GLEBE SPRING LN
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City | YORKTOWN
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State | VA
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Zip | 23693-3125
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Country | US
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Telephone | 757-643-8989
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Fax |
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Provider Business Mailing Address
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Address Line | 300 GLEBE SPRING LN
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City | YORKTOWN
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State | VA
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Zip | 23693-3125
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Country | US
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Telephone | 757-643-8989
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. PARTHIV J SHETH
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Credential | M.D.
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Telephone | 757-643-8989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number | 0101226872
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License Number State | VA
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