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General NPI Number Information
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NPI Number | 1083588081
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Entity Type | Organization
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Legal Business Name | ASCEND PSYCHIATRY AND WELLNESS, PLLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 555 WINDERLEY PL STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7133
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Country | US
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Telephone | 407-717-7420
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Fax |
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Provider Business Mailing Address
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Address Line | 555 WINDERLEY PL STE 300
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City | MAITLAND
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State | FL
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Zip | 32751-7133
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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 | OWNER
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Name | DR. CATHLEEN JANE GOMEZ
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Credential | MD
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Telephone | 407-717-7420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy 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 |
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License Number State |
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