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General NPI Number Information
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NPI Number | 1942851555
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Entity Type | Organization
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Legal Business Name | LOOSE HORSES PSYCHIATRY
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Dates
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Enumeration Date | 09/25/2019
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 429 N JUDGE ELY BLVD
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City | ABILENE
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State | TX
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Zip | 79601-5553
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Country | US
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Telephone | 813-444-6059
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Fax | 325-603-0507
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Provider Business Mailing Address
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Address Line | PO BOX 5825
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City | ABILENE
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State | TX
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Zip | 79608-5825
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Country | US
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Telephone | 813-444-6059
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Fax | 325-603-0507
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Authorized Official
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Title or Position | OWNER
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Name | DAVID C BELCHER
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Credential | DO
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Telephone | 813-444-6059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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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 | 2084F0202X
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Taxonomy Name | Forensic Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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