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General NPI Number Information
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NPI Number | 1033024260
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Entity Type | Organization
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Legal Business Name | ASPEN PSYCHIATRY AND WELLNESS PLLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 16630 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-1400
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Country | US
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Telephone | 727-939-5404
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Fax | 727-853-6564
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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 | OWNER
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Name | OUSSAMA HALTY
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Credential | APRN, PMHNP-BC
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Telephone | 513-707-8556
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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 |
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License Number State |
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