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General NPI Number Information
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NPI Number | 1760308217
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Entity Type | Organization
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Legal Business Name | NORTH STAR PSYCHIATRY LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 7530 E NONCHALANT AVE
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City | CAREFREE
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State | AZ
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Zip | 85377-4506
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Country | US
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Telephone | 215-960-6390
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Fax |
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Provider Business Mailing Address
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Address Line | 6805 ESSEX DR
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City | ROWLETT
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State | TX
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Zip | 75089-3808
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Country | US
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Telephone | 215-960-6390
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAHSEEN SHARONA GILL
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Credential |
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Telephone | 215-960-6390
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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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