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General NPI Number Information
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NPI Number | 1609626233
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTHCARE TECHNOLOGIES LLC
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 580 55TH AVE NE
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City | ST PETERSBURG
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State | FL
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Zip | 33703-2502
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Country | US
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Telephone | 813-360-0607
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Fax |
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Provider Business Mailing Address
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Address Line | 2029 DOUGLAS AVE
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City | DUNEDIN
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State | FL
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Zip | 34698-2604
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Country | US
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Telephone | 813-360-0607
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Fax | 813-200-8088
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | LORENA BROWNELL
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Credential |
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Telephone | 813-325-7479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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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 | 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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