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General NPI Number Information
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NPI Number | 1376494179
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Entity Type | Organization
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Legal Business Name | INNER WELLNESS PSYCHIATRY
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 4000 HOLLYWOOD BLVD STE 555S
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6853
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Country | US
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Telephone | 561-621-2903
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 NW 170TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1921
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KRISTINA ELIZABETH ENCALADA
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Credential | PMHNP-BC
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Telephone | 954-465-4648
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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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