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General NPI Number Information
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NPI Number | 1942912126
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Entity Type | Organization
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Legal Business Name | PSYNERGY SERVICES LLC
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Dates
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Enumeration Date | 12/19/2022
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 5445 PARK CENTRAL CT
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City | NAPLES
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State | FL
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Zip | 34109-6004
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Country | US
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Telephone | 305-204-3461
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Fax | 833-471-4825
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Provider Business Mailing Address
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Address Line | 902 E INLET DR
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City | MARCO ISLAND
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State | FL
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Zip | 34145-5913
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Country | US
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Telephone | 716-861-0668
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | ALEXANDRE PIGEON
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Credential | ARNP
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Telephone | 305-204-3461
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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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