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General NPI Number Information
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NPI Number | 1376382069
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Entity Type | Organization
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Legal Business Name | AO PSYCHIATRIC MENTAL HEALTH SERVICES LLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 25327 SW 121ST AVE
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City | HOMESTEAD
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State | FL
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Zip | 33032-3332
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Country | US
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Telephone | 786-252-4586
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Fax |
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Provider Business Mailing Address
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Address Line | 25327 SW 121ST AVE
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City | HOMESTEAD
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State | FL
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Zip | 33032-3332
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Country | US
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Telephone | 786-252-4586
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Fax |
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Authorized Official
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Title or Position | NP/OWNER
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Name | ANABEL RUIZ
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Credential |
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Telephone | 786-252-4586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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