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General NPI Number Information
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NPI Number | 1134992688
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Entity Type | Organization
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Legal Business Name | NXPATH PSYCHIATRY LLC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 1605 NW FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-9629
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Country | US
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Telephone | 772-480-5860
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Fax |
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Provider Business Mailing Address
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Address Line | 6911 PISTOL RANGE RD
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City | TAMPA
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State | FL
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Zip | 33635-6335
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Country | US
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Telephone | 813-325-7479
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN SHOOK
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Credential |
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Telephone | 813-325-7479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 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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