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General NPI Number Information
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NPI Number | 1053759217
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Entity Type | Individual
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Provider Name | CALEB MAUTI REID DNP, MSN, PMHNP-BC.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2013
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 350 E COMMERCIAL RD STE 112
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-3763
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Country | US
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Telephone | 909-913-0600
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Fax | 480-800-2200
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Provider Business Mailing Address
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Address Line | 350 E COMMERCIAL RD 112
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-5212
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Country | US
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Telephone | 480-999-8200
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Fax | 480-800-2212
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 726417
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | NP95023143
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 726417
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number | 279741
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 279741
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95023143
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10031832
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License Number State | OR
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0103095-C-NP
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License Number State | CO
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1098621
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP279741
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License Number State | AZ
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 70411
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License Number State | NM
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 279741
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License Number State | AZ
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Taxonomy #13
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61372139
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License Number State | WA
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Taxonomy #14
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP95023143
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License Number State | CA
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