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General NPI Number Information
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NPI Number | 1033500574
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Entity Type | Organization
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Legal Business Name | MINDCARE SOLUTIONS, PC OF CALIFORNIA
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Dates
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Enumeration Date | 02/05/2015
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 4445 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92501-4135
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Country | US
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Telephone | 951-788-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 W END AVE STE 1150
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City | NASHVILLE
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State | TN
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Zip | 37203-1614
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Country | US
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Telephone | 844-291-4535
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Fax |
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Authorized Official
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Title or Position | SVP OF REVENUE OPERATIONS
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Name | BRIAN NICHOLS
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Credential |
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Telephone | 615-334-5078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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