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General NPI Number Information
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NPI Number | 1952056780
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Entity Type | Organization
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Legal Business Name | ONE STOP PSYCHIATRY LLC
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 3015 N OCEAN BLVD STE C101
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7300
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Country | US
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Telephone | 754-270-6322
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Fax | 754-270-6321
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Provider Business Mailing Address
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Address Line | 8910 MIRAMAR PKWY STE 309G
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City | MIRAMAR
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State | FL
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Zip | 33025-4188
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Country | US
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Telephone | 754-270-6322
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Fax | 754-270-6321
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Authorized Official
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Title or Position | PRACTICE DEVELOPMENT CONSULTANT
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Name | JERJUAN TOLES
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Credential | BSHSM, MSHA
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Telephone | 239-595-9040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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