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General NPI Number Information
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NPI Number | 1477383263
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Entity Type | Organization
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Legal Business Name | BLESSED BEHAVIORAL & HEALTH SERVICES LLC
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 3450 LAKE CENTER DR
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City | MOUNT DORA
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State | FL
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Zip | 32757-2389
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Country | US
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Telephone | 407-801-1966
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Fax | 407-550-3811
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Provider Business Mailing Address
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Address Line | 18848 US HIGHWAY 441 # 1035
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City | MOUNT DORA
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State | FL
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Zip | 32757-6700
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Country | US
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Telephone | 407-801-1966
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Fax | 407-550-3811
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NURSE PRA
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Name | DR. EMMA MARKEY
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Credential | DNP, PMHNP-BC, FNP-C
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Telephone | 407-801-1966
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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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