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General NPI Number Information
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NPI Number | 1023188588
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Entity Type | Organization
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Legal Business Name | RESOURCE SHARING PSYCHIATRIC MEDICAL GROUP
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8787 COMPLEX DR SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-1419
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Country | US
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Telephone | 858-514-5126
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Fax | 858-514-5191
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Provider Business Mailing Address
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Address Line | 8787 COMPLEX DR SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-1419
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Country | US
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Telephone | 858-514-5126
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Fax | 858-514-5191
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. MARK S CHENVEN
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Credential | M.D.
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Telephone | 858-514-5126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | G39289
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G39289
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License Number State | CA
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