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General NPI Number Information
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NPI Number | 1750202727
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Entity Type | Organization
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Legal Business Name | SHIRAH PSYCHIATRY, LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 1951 W GRANADA BLVD
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City | ORMOND BEACH
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State | FL
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Zip | 32174-6740
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Country | US
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Telephone | 386-453-1454
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Fax |
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Provider Business Mailing Address
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Address Line | 397 MUDDY CREEK LN
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City | ORMOND BEACH
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State | FL
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Zip | 32174-4895
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER, MEMBER
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Name | DR. STEVEN KYLE SHIRAH
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Credential | DNP, APRN, PMHNP-BC
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Telephone | 386-453-1454
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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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