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General NPI Number Information
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NPI Number | 1740010024
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Entity Type | Individual
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Provider Name | HALEY HOWARD PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 626 N TYNDALL PKWY
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City | CALLAWAY
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State | FL
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Zip | 32404-6132
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Country | US
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Telephone | 850-871-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 1044 E BRANDON BLVD
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City | BRANDON
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State | FL
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Zip | 33511-5509
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Country | US
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Telephone | 850-625-4702
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11033738
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License Number State | FL
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