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General NPI Number Information
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NPI Number | 1710148341
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Entity Type | Organization
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Legal Business Name | NOUVEAU PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 3485 W FLAGLER ST SUITE 500
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City | MIAMI
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State | FL
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Zip | 33135-1042
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Country | US
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Telephone | 305-444-3333
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Fax | 305-444-7044
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Provider Business Mailing Address
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Address Line | 3485 W FLAGLER ST SUITE 500
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City | MIAMI
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State | FL
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Zip | 33135-1042
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Country | US
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Telephone | 305-444-3333
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Fax | 305-444-7044
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTONIO L PEREZ-NOY
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Credential | M.D.
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Telephone | 305-444-3333
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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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