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General NPI Number Information
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NPI Number | 1053289165
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Entity Type | Organization
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Legal Business Name | PSYCH QA SERVICES INC DBA RENEW MIND AND WELLNESS
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 7765 SW 87TH AVE STE 105
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City | MIAMI
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State | FL
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Zip | 33173-2535
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Country | US
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Telephone | 754-332-4395
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Fax |
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Provider Business Mailing Address
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Address Line | 7765 SW 87TH AVE STE 105
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City | MIAMI
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State | FL
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Zip | 33173-2535
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Country | US
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Telephone | 754-332-4395
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHERYN FERNANDEZ PAUL
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Credential | APRN
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Telephone | 754-332-4395
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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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