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General NPI Number Information
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NPI Number | 1699688465
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Entity Type | Organization
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Legal Business Name | PATROMAS LLC
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N # 8864
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 813-815-7405
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Fax | 813-354-3543
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N # 8864
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 813-815-7405
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Fax | 813-354-3543
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | PATRICIA CALIXTE-CIVIL
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Credential | CP
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Telephone | 732-737-1277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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