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General NPI Number Information
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NPI Number | 1225766793
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Entity Type | Organization
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Legal Business Name | NATIONAL PSYCHIATRY, LLC
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Dates
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Enumeration Date | 08/11/2022
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 6101 PINE RIDGE ROAD
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City | NAPLES
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State | FL
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Zip | 34119
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Country | US
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Telephone | 239-330-2933
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Fax |
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Provider Business Mailing Address
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Address Line | 2338 IMMOKALEE RD # 186
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City | NAPLES
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State | FL
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Zip | 34110-1445
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Country | US
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Telephone | 239-330-2933
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN W. MARSH
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Credential | MD
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Telephone | 239-330-2933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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