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General NPI Number Information
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NPI Number | 1528974441
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Entity Type | Organization
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Legal Business Name | EQUANIM PSYCHIATRY & MENTAL WELLNESS PLLC
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | 2580 METROCENTRE BLVD STE 2
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-3100
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Country | US
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Telephone | 728-236-1014
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Fax |
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Provider Business Mailing Address
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Address Line | 5762 OKEECHOBEE BLVD STE 602
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4343
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Country | US
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Telephone | 954-691-6151
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SHARON JENNIFER BUCKNOR
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Credential |
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Telephone | 954-691-6151
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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 | NULL
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