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General NPI Number Information
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NPI Number | 1134833163
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Entity Type | Organization
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Legal Business Name | R & C PSYCHIATRY AND INTEGRATIVE MEDICINE LLC
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Dates
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Enumeration Date | 01/13/2023
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 9050 PINES BLVD STE 150
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6400
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Country | US
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Telephone | 305-915-4565
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Fax | 954-256-6047
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Provider Business Mailing Address
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Address Line | 9050 PINES BLVD STE 150
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6400
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Country | US
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Telephone | 305-915-4565
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Fax | 954-256-6047
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Authorized Official
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Title or Position | OWNER
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Name | ROBERTO CARMONA
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Credential |
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Telephone | 786-741-7792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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