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General NPI Number Information
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NPI Number | 1730836438
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Entity Type | Organization
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Legal Business Name | MONUMENTAL HEALTH PARTNERS LLC
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 12651 W SUNRISE BLVD STE 101
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City | SUNRISE
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State | FL
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Zip | 33323-0906
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Country | US
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Telephone | 984-887-0951
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Fax | 954-653-8669
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Provider Business Mailing Address
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Address Line | 12651 W SUNRISE BLVD STE 101
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City | SUNRISE
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State | FL
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Zip | 33323-0906
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Country | US
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Telephone | 984-887-0951
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Fax | 954-653-8669
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Authorized Official
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Title or Position | OWNER
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Name | BALKYS L BIVINS
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Credential | APRN
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Telephone | 984-887-0951
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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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