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General NPI Number Information
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NPI Number | 1568151926
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Entity Type | Organization
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Legal Business Name | PRACTICAL PSYCHIATRIC SOLUTIONS
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | 3634 BENERAID STREET
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City | LAND O LAKES
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State | FL
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Zip | 34638
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Country | US
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Telephone | 727-637-9518
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Fax | 727-677-0940
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Provider Business Mailing Address
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Address Line | 15985 PRESERVE MARKETPLACE BLVD #246
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City | ODESSA
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State | FL
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Zip | 33556
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Country | US
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Telephone | 813-616-1663
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Fax | 727-677-0940
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Authorized Official
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Title or Position | MD
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Name | DR. ANNETTE J DEUTSCHER
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Credential | MD
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Telephone | 813-616-1663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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