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General NPI Number Information
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NPI Number | 1619763356
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Entity Type | Organization
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Legal Business Name | DAISY PSYCHIATRY LLC
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 7055 ENGLE RD BLDG 6-601
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City | MIDDLEBURG HEIGHTS
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State | OH
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Zip | 44130-8491
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Country | US
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Telephone | 216-206-7507
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Fax | 864-448-1616
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Provider Business Mailing Address
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Address Line | 4079 WOOSTER RD
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City | FAIRVIEW PARK
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State | OH
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Zip | 44126-1661
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Country | US
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Telephone | 440-309-8787
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | MRS. KRISTA LEIGH MCDONALD
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Credential | MSN, APRN, PMHNP-BC
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Telephone | 216-206-7507
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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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