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General NPI Number Information
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NPI Number | 1497380687
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Entity Type | Organization
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Legal Business Name | FLORIDA VIRTUAL PSYCHIATRIC SERVICES
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Dates
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Enumeration Date | 03/08/2020
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Last Update Date | 03/08/2020
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Provider Practice Location Address
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Address Line | 15462 SW 176TH TER
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City | MIAMI
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State | FL
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Zip | 33187-6749
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Country | US
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Telephone | 786-273-8370
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Fax | 786-408-7476
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Provider Business Mailing Address
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Address Line | 15462 SW 176TH TER
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City | MIAMI
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State | FL
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Zip | 33187-6749
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Country | US
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Telephone | 786-273-8370
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Fax | 786-408-7476
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Authorized Official
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Title or Position | CEO
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Name | MR. HANS BELIARD
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Credential | APRN
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Telephone | 786-273-8370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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