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General NPI Number Information
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NPI Number | 1841694221
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Entity Type | Individual
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Provider Name | EDDY MARCIAL DNP,APRN,NP,PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 10/14/2014
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 13205 SW 137 AVE SUITE 232-233
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City | MIAMI
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State | FL
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Zip | 33186
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Country | US
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Telephone | 786-290-9192
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Fax | 786-364-1894
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Provider Business Mailing Address
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Address Line | 13205 SW 137TH AVE STE 224-225
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City | MIAMI
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State | FL
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Zip | 33186-5331
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Country | US
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Telephone | 786-290-9192
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Fax | 800-603-8893
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | ARNP-9231287
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9231287
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License Number State | FL
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