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General NPI Number Information
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NPI Number | 1215639448
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Entity Type | Organization
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Legal Business Name | KENDALL PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 11110 SW 88TH ST STE 200
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City | MIAMI
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State | FL
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Zip | 33176-0938
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Country | US
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Telephone | 786-558-2343
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Fax |
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Provider Business Mailing Address
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Address Line | 7604 SW 139TH CT
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City | MIAMI
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State | FL
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Zip | 33183-3083
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Country | US
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Telephone | 305-326-6550
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA ROSENBERG
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Credential | FNP,PMHNP
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Telephone | 305-326-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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