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General NPI Number Information
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NPI Number | 1942254578
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Entity Type | Organization
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Legal Business Name | PATHWAYS PSYCHIATRIC HOSPITAL INC
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 307 N MAIN ST
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City | WINDSOR
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State | MO
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Zip | 65360-1449
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Country | US
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Telephone | 660-647-9921
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Fax | 660-647-3617
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Provider Business Mailing Address
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Address Line | 307 N MAIN ST
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City | WINDSOR
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State | MO
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Zip | 65360-1449
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Country | US
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Telephone | 660-647-9921
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Fax | 660-647-3617
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Authorized Official
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Title or Position | CFO
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Name | TAMMY NADLER
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Credential | CPA
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Telephone | 660-647-9921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 488.1
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License Number State | MO
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