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General NPI Number Information
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NPI Number | 1285240960
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Entity Type | Organization
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Legal Business Name | TELEPSYCH LLC
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 07/04/2026
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Provider Practice Location Address
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Address Line | 6601 MEMORIAL HWY STE 221
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City | TAMPA
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State | FL
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Zip | 33615-4501
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Country | US
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Telephone | 352-615-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 5924 BAYSIDE KEY DR
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City | TAMPA
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State | FL
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Zip | 33615-4281
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Country | US
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Telephone | 352-615-5440
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | DALLAS CAREY
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Credential | PSYD
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Telephone | 352-615-5440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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