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General NPI Number Information
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NPI Number | 1730979550
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Entity Type | Organization
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Legal Business Name | SIMPLIE PSYCHIATRY LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 6781 S HWY US1
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-3495
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Country | US
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Telephone | 786-514-7334
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Fax |
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Provider Business Mailing Address
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Address Line | 6781 S HWY US1
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952
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Country | US
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Telephone | 954-372-5993
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Fax | 954-372-5993
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Authorized Official
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Title or Position | AMBR
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Name | MRS. MARIE NEVIASER
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Credential | PMHNP
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Telephone | 954-372-5993
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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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