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General NPI Number Information
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NPI Number | 1952517229
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Entity Type | Organization
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Legal Business Name | BARRIER ISLANDS PSYCHIATRY P A
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 1616 ASHLEY RIVER RD
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City | CHARLESTON
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State | SC
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Zip | 29407-5902
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Country | US
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Telephone | 843-556-8177
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Fax | 843-571-2742
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Provider Business Mailing Address
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Address Line | 1620 ASHLEY RIVER RD
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City | CHARLESTON
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State | SC
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Zip | 29407-5983
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Country | US
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Telephone | 843-556-8177
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Fax | 843-571-2742
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Authorized Official
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Title or Position | OWNER
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Name | DR. CONSTANCE J. ALEXANDER
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Credential | M. D.
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Telephone | 843-556-8177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1981
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License Number State | SC
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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 | 22098
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License Number State | SC
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