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General NPI Number Information
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NPI Number | 1083469472
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Entity Type | Organization
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Legal Business Name | PSYCHMINDED A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 7601 IMPERIAL HWY
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City | DOWNEY
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State | CA
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Zip | 90242-3456
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Country | US
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Telephone | 714-915-5288
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Fax |
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Provider Business Mailing Address
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Address Line | 9528 MIRAMAR RD # 1172
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City | SAN DIEGO
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State | CA
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Zip | 92126-4533
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Country | US
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Telephone | 714-915-5288
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MORGAN BALDWIN
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Credential | PMHNP
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Telephone | 714-915-5288
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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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