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General NPI Number Information
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NPI Number | 1174478762
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Entity Type | Organization
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Legal Business Name | PRIMEAXIS PSYCHIATRY & BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 02/28/2026
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | 11901 SHADOW CREEK PKWY STE 111
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City | PEARLAND
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State | TX
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Zip | 77584-7346
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Country | US
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Telephone | 954-669-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 428 SW 27TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-2262
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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 | MEDICAL DIRECTOR
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Name | STEPHEN PAULSON
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Credential | MD
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Telephone | 954-669-0401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) 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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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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