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General NPI Number Information
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NPI Number | 1992252670
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTH AND BEHAVIORAL SPECIALISTS
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 9150 ESTATE THOMAS STE 104
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City | ST THOMAS
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State | VI
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Zip | 00802-2612
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Country | US
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Telephone | 340-244-9658
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Fax |
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Provider Business Mailing Address
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Address Line | 9150 ESTATE THOMAS STE 104
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City | ST THOMAS
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State | VI
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Zip | 00802-2612
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. LAURIE MCPEARCE
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Credential |
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Telephone | 340-244-9658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 1957
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License Number State | VI
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