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General NPI Number Information
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NPI Number | 1316492523
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Entity Type | Organization
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Legal Business Name | PRESTIGE PSYCHIATRY,INC.
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 1999 N UNIVERSITY DR #400
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8918
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Country | US
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Telephone | 954-345-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 1999 N UNIVERSITY DR #400
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-8918
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Country | US
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Telephone | 954-345-7474
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | CRAIG CRESPI
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Credential | D.O.
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Telephone | 954-345-7474
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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 | OS12701
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License Number State | FL
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