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General NPI Number Information
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NPI Number | 1255033130
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Entity Type | Organization
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Legal Business Name | EUDEMONIA PSYCHIATRY
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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 | 2809 S MAYHILL RD
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City | DENTON
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State | TX
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Zip | 76208-5910
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Country | US
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Telephone | 940-239-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 2282 COUNTY ROAD 332
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City | ERA
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State | TX
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Zip | 76238-2801
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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 | PMHNP-BC
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Name | SILVIA BONILLA
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Credential |
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Telephone | 940-595-2372
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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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