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General NPI Number Information
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NPI Number | 1265287312
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH FIRST
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Dates
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Enumeration Date | 04/22/2024
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 1177 LOUISIANA AVE STE 209
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City | WINTER PARK
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State | FL
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Zip | 32789-2352
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Country | US
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Telephone | 407-664-8242
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Fax | 407-960-6284
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Provider Business Mailing Address
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Address Line | 1177 LOUISIANA AVE STE 209
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City | WINTER PARK
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State | FL
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Zip | 32789-2352
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Country | US
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Telephone | 407-664-8242
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Fax | 407-960-6284
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. ROBERT WATKINS III
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Credential | MD
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Telephone | 407-664-8242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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