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General NPI Number Information
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NPI Number | 1902612229
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Entity Type | Organization
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Legal Business Name | SOUND MIND BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 9753 S ORANGE BLOSSOM TRL STE 101
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City | ORLANDO
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State | FL
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Zip | 32837-8998
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Country | US
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Telephone | 407-942-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 2959 AUTUMNWOOD TRL
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City | APOPKA
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State | FL
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Zip | 32703-4945
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEERIKA DIAZ
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Credential | APRN
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Telephone | 407-914-9418
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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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