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General NPI Number Information
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NPI Number | 1386213684
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Entity Type | Organization
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Legal Business Name | PSYCHED SOLUTIONS P.A.
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 5245 W IRLO BRONSON MEMORIAL HWY UNIT 1
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City | KISSIMMEE
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State | FL
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Zip | 34746-5347
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Country | US
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Telephone | 305-684-1390
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Fax | 877-478-5333
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Provider Business Mailing Address
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Address Line | 18425 NW 2ND AVE 5TH FLOOR PH 13
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4524
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Country | US
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Telephone | 305-684-1390
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Fax | 877-478-5333
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA C BRINSON
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Credential |
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Telephone | 954-257-7473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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