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NPI 1073425120

NPI 1073425120 : RISING SUN PSYCHIATRY : OCALA, FL

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General NPI Number Information
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    NPI Number           |    1073425120
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    Entity Type          |    Organization 
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    Legal Business Name  |    RISING SUN PSYCHIATRY 
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Dates
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    Enumeration Date     |    09/22/2026
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    Last Update Date     |    09/22/2026
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Provider Practice Location Address
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    Address Line         |    2631 SE 58TH AVE 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34480-6418
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    Country              |    US
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    Telephone            |    352-675-3043
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    Fax                  |    352-261-8722
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Provider Business Mailing Address
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    Address Line         |    133 ALMOND RD 
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    City                 |    OCALA
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    State                |    FL
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    Zip                  |    34472-8625
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    Country              |    US
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    Telephone            |    352-675-3043
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    Fax                  |    352-261-8722
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MARIE USHA MEHTA-PINTARD 
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    Credential           |    APRN
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    Telephone            |    954-740-4969
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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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