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General NPI Number Information
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NPI Number | 1811519234
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Entity Type | Organization
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Legal Business Name | INSTIC HEALTH LLC
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Dates
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Enumeration Date | 05/07/2020
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 105 N ALEXANDER ST STE 105
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City | PLANT CITY
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State | FL
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Zip | 33563-4831
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Country | US
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Telephone | 813-755-7300
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Fax | 833-905-0111
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Provider Business Mailing Address
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Address Line | 105 N ALEXANDER ST STE 105
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City | PLANT CITY
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State | FL
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Zip | 33563-4831
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Country | US
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Telephone | 813-755-7300
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. SIDDHARTH V PATEL
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Credential | RPH
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Telephone | 813-755-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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