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General NPI Number Information
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NPI Number | 1366183139
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Entity Type | Organization
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Legal Business Name | STILL PSYCHIATRY PLLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 2131 KIRKWOOD BLVD STE 100
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City | SOUTHLAKE
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State | TX
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Zip | 76092-1540
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Country | US
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Telephone | 817-251-4906
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Fax |
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Provider Business Mailing Address
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Address Line | 3501 JEPSEN DR APT 3308
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City | FORT WORTH
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State | TX
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Zip | 76177-2383
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Country | US
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Telephone | 516-445-2227
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. BENE ANEKE
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Credential | PMHNP
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Telephone | 516-445-2227
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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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