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General NPI Number Information
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NPI Number | 1417840927
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Entity Type | Individual
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Provider Name | ALEX LEE HINDERSCHEID APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 7807 BAYMEADOWS RD E STE 402
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9668
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Country | US
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Telephone | 904-799-2800
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Fax | 904-293-1355
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Provider Business Mailing Address
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Address Line | 3606 ARLINGTON OAKS CT
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City | TAMPA
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State | FL
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Zip | 33618-2002
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Country | US
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Telephone | 813-394-7697
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11039895
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License Number State | FL
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