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NPI 1831024736

NPI 1831024736 : OMNI PSYCHIATRY LLC : MOUNT VERNON, OH

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General NPI Number Information
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    NPI Number           |    1831024736
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    Entity Type          |    Organization 
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    Legal Business Name  |    OMNI PSYCHIATRY LLC 
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Dates
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    Enumeration Date     |    06/15/2026
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    Last Update Date     |    06/15/2026
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Provider Practice Location Address
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    Address Line         |    10522 PLEASANT VALLEY RD 
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    City                 |    MOUNT VERNON
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    State                |    OH
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    Zip                  |    43050-9332
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    Country              |    US
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    Telephone            |    419-560-8126
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10522 PLEASANT VALLEY RD 
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    City                 |    MOUNT VERNON
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    State                |    OH
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    Zip                  |    43050-9332
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    Country              |    US
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    Telephone            |    419-560-8126
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PMHNP
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    Name                 |     TORY  TOBIN 
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    Credential           |    PMHNP-BC
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    Telephone            |    419-560-8126
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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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