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General NPI Number Information
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NPI Number | 1437953759
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Entity Type | Organization
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Legal Business Name | INTERACTIVE PSYCHIATRY LLC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 110 W COUNTRY CLUB DR STE B
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City | TAMPA
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State | FL
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Zip | 33612-5651
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Country | US
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Telephone | 813-815-8995
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Fax |
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Provider Business Mailing Address
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Address Line | 10025 LAKE OAK CIR
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City | TAMPA
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State | FL
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Zip | 33624-5287
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Country | US
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Telephone | 786-260-2702
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRY NURSE PRACTITIONER
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Name | TAIMARIS MAS MARANTE
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Credential | APRN PMHNP-BC
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Telephone | 786-260-2702
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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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