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General NPI Number Information
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NPI Number | 1265336754
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Entity Type | Organization
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Legal Business Name | STEADY TIDE
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 2311 CANTERWOOD DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7300
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Country | US
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Telephone | 910-763-2385
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Fax |
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Provider Business Mailing Address
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Address Line | 2311 CANTERWOOD DR
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City | WILMINGTON
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State | NC
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Zip | 28401-7300
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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
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Name | KATHERINE NEAVE
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Credential | PMHNP
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Telephone | 203-295-5123
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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 | NULL
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