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General NPI Number Information
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NPI Number | 1407678238
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH SOLUTIONS SFL LLC
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1016 CLARE AVE STE 5
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6219
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Country | US
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Telephone | 561-270-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 SW 3RD ST APT 107
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City | BOCA RATON
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State | FL
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Zip | 33428-4579
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Country | US
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Telephone | 561-270-5330
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Fax | 561-960-0506
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Authorized Official
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Title or Position | CO-OWNER
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Name | ALICIA CILIEZAR
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Credential |
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Telephone | 561-270-5330
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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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