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General NPI Number Information
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NPI Number | 1912860818
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Entity Type | Organization
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Legal Business Name | MEDPSYCH INNOVATIONS PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 7826 SPUNGOLD ST
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City | RALEIGH
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State | NC
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Zip | 27617-8603
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Country | US
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Telephone | 919-561-9391
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Fax | 919-561-9391
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Provider Business Mailing Address
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Address Line | 7826 SPUNGOLD ST
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City | RALEIGH
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State | NC
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Zip | 27617-8603
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Country | US
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Telephone | 919-561-9391
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Fax | 919-561-9391
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Authorized Official
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Title or Position | PSYCHIATRIC PA-C/PRESIDENT
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Name | KAMI SMITH HARRIS
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Credential | PA-C
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Telephone | 919-561-9391
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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 |
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License Number State |
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