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General NPI Number Information
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NPI Number | 1912215674
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF WELLINGTON, LLC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 12773 W FOREST HILL BLVD SUITE 200
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City | WELLINGTON
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State | FL
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Zip | 33414-4767
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Country | US
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Telephone | 561-333-8813
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Fax | 561-333-8803
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Provider Business Mailing Address
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Address Line | 12773 W FOREST HILL BLVD SUITE 200
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City | WELLINGTON
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State | FL
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Zip | 33414-4767
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Country | US
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Telephone | 561-333-8813
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Fax | 561-333-8803
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. JOSHUA MAY
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Credential | MD
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Telephone | 561-333-8813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME101480
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License Number State | FL
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