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NPI 1265316343

NPI 1265316343 : ARARAT PSYCHIATRY LLC : SAINT PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1265316343
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARARAT PSYCHIATRY LLC 
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Dates
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    Enumeration Date     |    08/02/2025
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    Last Update Date     |    01/07/2026
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Provider Practice Location Address
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    Address Line         |    7901 4TH ST N STE 300 
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    City                 |    SAINT PETERSBURG
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    State                |    FL
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    Zip                  |    33702-4399
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    Country              |    US
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    Telephone            |    305-615-5145
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    Fax                  |    305-280-4550
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Provider Business Mailing Address
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    Address Line         |    7901 4TH ST N STE 300 
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    City                 |    SAINT PETERSBURG
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    State                |    FL
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    Zip                  |    33702-4399
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    Country              |    US
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    Telephone            |    305-615-5145
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    Fax                  |    305-280-4550
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RONALDYS  PAEZ 
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    Credential           |    APRN, PMHNP-BC
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    Telephone            |    305-615-5745
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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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