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General NPI Number Information
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NPI Number | 1295685089
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Entity Type | Organization
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Legal Business Name | PREMIER BEHAVIORAL HEALTHCARE BY DR P PLLC
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 5220 US HIGHWAY 1 UNIT 111
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City | VERO BEACH
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State | FL
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Zip | 32967-7029
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Country | US
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Telephone | 772-258-3019
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Fax | 855-631-1078
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Provider Business Mailing Address
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Address Line | 5220 US HIGHWAY 1 UNIT 111
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City | VERO BEACH
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State | FL
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Zip | 32967-7029
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Country | US
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Telephone | 772-258-3019
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Fax | 855-631-1078
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | JUAN PIMENTEL
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Credential | MD
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Telephone | 772-258-3019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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