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General NPI Number Information
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NPI Number | 1073305843
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Entity Type | Organization
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Legal Business Name | NEXTGEN PSYCHE AND WELLNESS LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 12/06/2025
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Provider Practice Location Address
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Address Line | 5222 BALBOA AVE STE 43
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City | SAN DIEGO
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State | CA
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Zip | 92117-6956
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Country | US
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Telephone | 626-371-3053
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Fax | 323-334-1456
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Provider Business Mailing Address
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Address Line | 5222 BALBOA AVE STE 43
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City | SAN DIEGO
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State | CA
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Zip | 92117-6956
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Country | US
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Telephone | 323-527-8278
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Fax | 323-334-1456
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Authorized Official
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Title or Position | PMHNP-BC
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Name | MR. ERWIN BAIRD
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Credential | NP
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Telephone | 323-527-8278
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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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