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General NPI Number Information
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NPI Number | 1518775618
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Entity Type | Organization
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Legal Business Name | FREE YOUR MIND PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 8470 ENTERPRISE CIR STE 300
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4105
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Country | US
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Telephone | 941-725-2342
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Fax | 855-941-2553
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Provider Business Mailing Address
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Address Line | 8470 ENTERPRISE CIR STE 300
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-4105
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Country | US
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Telephone | 941-725-2342
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Fax |
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Authorized Official
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Title or Position | MSN, APRN, PMHNP-BC, FNP-BC
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Name | RENEE LYNN NOVAK
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Credential | APRN
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Telephone | 941-725-2342
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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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