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General NPI Number Information
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NPI Number | 1497923239
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Entity Type | Organization
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Legal Business Name | NAPLES PSYCHIATRIC & COUNSELING
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 5445 PARK CENTRAL CT
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City | NAPLES
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State | FL
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Zip | 34109-5934
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Country | US
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Telephone | 239-592-5948
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Fax | 239-592-5874
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Provider Business Mailing Address
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Address Line | 5445 PARK CENTRAL CT
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City | NAPLES
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State | FL
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Zip | 34109-5934
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Country | US
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Telephone | 239-592-5948
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Fax | 239-592-5874
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Authorized Official
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Title or Position | DISPENSING PHYSICIAN
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Name | DR. JAMES A HALIKAS
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Credential | M.D.
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Telephone | 239-592-7535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | ME0069324
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License Number State | FL
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