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General NPI Number Information
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NPI Number | 1023720083
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Entity Type | Organization
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Legal Business Name | AURA INTEGRATIVE PSYCHIATRY AND TMS PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 2025 FOREST AVE STE 8
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City | SAN JOSE
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State | CA
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Zip | 95128-4806
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Country | US
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Telephone | 408-539-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 FOREST AVE STE 8
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City | SAN JOSE
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State | CA
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Zip | 95128-4806
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Country | US
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Telephone | 408-539-1083
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AZMEENA HASHEM
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Credential |
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Telephone | 408-539-1083
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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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