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General NPI Number Information
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NPI Number | 1295575033
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Entity Type | Organization
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Legal Business Name | SUNNY ISLES PSYCH ASSOCIATES PLLC
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 203 POINCIANA DR
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4522
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Country | US
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Telephone | 410-236-0305
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Fax | 754-755-3440
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Provider Business Mailing Address
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Address Line | 203 POINCIANA DR
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-4522
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Country | US
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Telephone | 410-236-0305
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Fax | 754-755-3440
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Authorized Official
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Title or Position | OWNER
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Name | MR. BAHATTIN ERGIN
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Credential | APRN
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Telephone | 410-236-0305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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