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General NPI Number Information
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NPI Number | 1407465230
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Entity Type | Organization
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Legal Business Name | INTEGRITY MENTAL RESOURCES CORP
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 306 S 10TH ST STE 340
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City | HAINES CITY
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State | FL
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Zip | 33844-5602
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Country | US
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Telephone | 786-443-9749
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Fax | 863-438-7739
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Provider Business Mailing Address
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Address Line | 306 S 10TH ST STE 340
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City | HAINES CITY
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State | FL
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Zip | 33844-5602
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Country | US
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Telephone | 863-438-7640
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Fax | 863-438-7739
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | VICTOR PENA
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Credential |
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Telephone | 786-443-9749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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