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General NPI Number Information
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NPI Number | 1568267177
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Entity Type | Organization
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Legal Business Name | TWINLAKES HEALTH SERVICES AND CONSULTING
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 28211 CHURCH RD
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City | BROOKSVILLE
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State | FL
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Zip | 34602-6232
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Country | US
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Telephone | 352-278-1398
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Fax |
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Provider Business Mailing Address
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Address Line | 28211 CHURCH RD
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City | BROOKSVILLE
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State | FL
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Zip | 34602-6232
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Country | US
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Telephone | 352-278-1398
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | KAREN ONITA HARRIS
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Credential | APRN
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Telephone | 352-278-1398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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