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General NPI Number Information
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NPI Number | 1285432351
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Entity Type | Organization
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Legal Business Name | ROBUST PSYCH HEALTH PLLC
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 239-209-7894
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Fax |
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Provider Business Mailing Address
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Address Line | 4490 20TH ST NE
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City | NAPLES
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State | FL
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Zip | 34120-0479
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Country | US
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Telephone | 239-209-7894
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANIECE THERMIDOR
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Credential | MSN
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Telephone | 239-209-7894
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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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