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General NPI Number Information
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NPI Number | 1871446393
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Entity Type | Individual
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Provider Name | KEVIN STALLINGS PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 1602 OAKFIELD DR STE 205
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City | BRANDON
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State | FL
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Zip | 33511-0827
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Country | US
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Telephone | 813-655-6367
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 OAKFIELD DR STE 205
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City | BRANDON
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State | FL
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Zip | 33511-0827
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Country | US
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Telephone | 813-655-6367
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Fax |
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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 | APRN11045533
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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 | RN93325697
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License Number State | FL
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