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General NPI Number Information
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NPI Number | 1013888718
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Entity Type | Individual
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Provider Name | OUSSAMA HALTY APRN, PMHNP-BC
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Gender |
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 27716 CASHFORD CIR STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6962
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Country | US
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Telephone | 513-707-8556
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Fax |
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Provider Business Mailing Address
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Address Line | 16156 MONTEREY GREENS CIR
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City | TAMPA
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State | FL
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Zip | 33647-3789
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Country | US
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Telephone | 513-707-8556
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | APRN11042128
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License Number State | FL
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