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General NPI Number Information
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NPI Number | 1154251148
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Entity Type | Organization
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Legal Business Name | AXIS MENTAL HEALTH LLC
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Dates
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Enumeration Date | 05/21/2026
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Last Update Date | 05/21/2026
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Provider Practice Location Address
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Address Line | 965 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33130-1139
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Country | US
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Telephone | 305-804-9624
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Fax |
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Provider Business Mailing Address
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Address Line | 4591 SW 151ST PL
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City | MIAMI
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State | FL
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Zip | 33185-4365
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Country | US
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Telephone | 786-343-5161
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | MARLON OSCAR RODRIGUEZ
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Credential | PMHNP
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Telephone | 305-804-9624
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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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