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General NPI Number Information
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NPI Number | 1982426847
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Entity Type | Organization
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Legal Business Name | TRAUMA RECOVERY SOLUTIONS LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2112 BIENVILLE BLVD STE C1
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3015
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Country | US
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Telephone | 228-300-9909
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 BIENVILLE BLVD STE C1
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-3015
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Country | US
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Telephone | 228-300-9909
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Fax |
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Authorized Official
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Title or Position | OWNER, TRAUMA PSYCHOLOGIST
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Name | DR. CHRISTOPHER MICHAEL PEREZ
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Credential | PH.D.
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Telephone | 228-300-9909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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