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General NPI Number Information
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NPI Number | 1821848417
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Entity Type | Organization
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Legal Business Name | PREFERRED PSYCHIATRIC AND WELLNESS SOLUTIONS LLC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 05/05/2024
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Provider Practice Location Address
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Address Line | 5095 S WASHINGTON AVE # 212
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City | TITUSVILLE
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State | FL
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Zip | 32780-7304
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Country | US
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Telephone | 321-465-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 5510 BENT OAK DR
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City | TITUSVILLE
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State | FL
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Zip | 32780-7050
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Country | US
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Telephone | 321-961-5162
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JANETTE M ROBINSON
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Credential | APRN
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Telephone | 321-465-5599
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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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