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General NPI Number Information
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NPI Number | 1982646428
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE PSYCHOLOGICAL SERVICES PC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 108 WEST SUMMIT HILL DRIVE
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City | KNOXVILLE
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State | TN
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Zip | 37902
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Country | US
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Telephone | 865-525-1099
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Fax | 865-525-7494
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Provider Business Mailing Address
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Address Line | 108 WEST SUMMIT HILL DRIVE
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City | KNOXVILLE
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State | TN
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Zip | 37902
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Country | US
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Telephone | 865-525-1099
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Fax | 865-525-7494
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Authorized Official
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Title or Position | PSYCHOLOGIST OWNER
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Name | DR. PAMELA D JONES
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Credential | PSYD
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Telephone | 865-525-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | P1947
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License Number State | TN
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