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General NPI Number Information
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NPI Number | 1306796610
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Entity Type | Organization
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Legal Business Name | EASTPORT BEHAVIORAL HEALTH & PSYCHIATRY
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 541 REDDING CT
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City | THE VILLAGES
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State | FL
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Zip | 32163-5916
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Country | US
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Telephone | 631-707-2394
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Fax | 631-824-9118
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Provider Business Mailing Address
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Address Line | 2448 FOSTER CT
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2734
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Country | US
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Telephone | 631-707-2394
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Fax | 631-824-9118
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | STACY H SCHOENBACH
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Credential | DNP
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Telephone | 631-707-2394
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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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