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General NPI Number Information
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NPI Number | 1720884554
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Entity Type | Organization
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Legal Business Name | EUNOIA PSYCHIATRY PLLC
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2154 SEVEN SPRINGS BLVD STE 101
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-3910
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Country | US
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Telephone | 727-437-8462
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Fax | 727-245-8502
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Provider Business Mailing Address
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Address Line | 13115 SHERIDAN DR
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City | HUDSON
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State | FL
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Zip | 34667-2760
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Country | US
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Telephone | 727-437-8462
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Fax | 727-245-8502
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Authorized Official
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Title or Position | FOUNDER
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Name | JESSICA NICOLE BALOK-ANGELILLI
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Credential | DNP, PMHNP
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Telephone | 646-659-1871
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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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