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General NPI Number Information
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NPI Number | 1689540361
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Entity Type | Organization
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Legal Business Name | MT CARMEL HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 10/11/2025
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Last Update Date | 10/11/2025
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Provider Practice Location Address
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Address Line | 1501 W YAMATO RD STE 200
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City | BOCA RATON
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State | FL
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Zip | 33431-4438
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Country | US
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Telephone | 754-214-3803
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Fax | 754-214-3803
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Provider Business Mailing Address
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Address Line | 11357 SEA GRASS CIR
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City | BOCA RATON
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State | FL
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Zip | 33498-4920
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Country | US
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Telephone | 754-214-3803
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Fax | 754-214-3803
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | BERVELIE ISIDOR
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Credential | APRN,PMHNP-BC
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Telephone | 754-214-3803
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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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