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General NPI Number Information
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NPI Number | 1013252428
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Entity Type | Organization
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Legal Business Name | THE PSYCH NURSE, INC.
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 3701 W BUS 83
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City | HARLINGEN
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State | TX
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Zip | 78552-3556
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Country | US
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Telephone | 956-230-1643
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Fax | 956-230-1644
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Provider Business Mailing Address
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Address Line | 3701 W BUS 83
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City | HARLINGEN
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State | TX
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Zip | 78552-3556
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Country | US
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Telephone | 956-230-1643
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Fax | 956-230-1644
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. JUAN L. SANCHEZ, RNC
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Credential | RNC
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Telephone | 956-230-1643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 548426
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License Number State | TX
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