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NPI 1134711138

NPI 1134711138 : INPATHY BEHAVIORAL HEALTHCARE GROUP PA : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1134711138
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    Entity Type          |    Organization 
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    Legal Business Name  |    INPATHY BEHAVIORAL HEALTHCARE GROUP PA 
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Dates
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    Enumeration Date     |    02/10/2021
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    Last Update Date     |    03/07/2025
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Provider Practice Location Address
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    Address Line         |    1800 PEMBROOK DR STE 300 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32810-6378
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    Country              |    US
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    Telephone            |    856-282-2547
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    Fax                  |    856-344-0572
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Provider Business Mailing Address
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    Address Line         |    765 ROUTE 70 E STE 100 
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    City                 |    MARLTON
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    State                |    NJ
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    Zip                  |    08053-2341
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    Country              |    US
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    Telephone            |    856-282-2547
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    Fax                  |    856-344-0572
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Authorized Official
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    Title or Position    |    DIRECTOR, MEDICAL AFFAIRS
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    Name                 |     VICTORIA  ALVAREZ 
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    Credential           |    
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    Telephone            |    646-245-1437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry 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        |    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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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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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