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General NPI Number Information
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NPI Number | 1447122825
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Entity Type | Organization
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Legal Business Name | TRANQUIL MINDS ADDICTION AND PSYCHIATRY
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 202 MACDUFF CT
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City | GIBSONIA
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State | PA
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Zip | 15044-9497
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Country | US
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Telephone | 412-719-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 202 MACDUFF CT
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City | GIBSONIA
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State | PA
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Zip | 15044-9497
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Country | US
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Telephone | 412-719-1990
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Fax |
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Authorized Official
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Title or Position | CRNP, PMHNP-BC
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Name | MRS. SHANNNON FITZGERALD
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Credential | MSN-PMC
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Telephone | 412-719-1990
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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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