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General NPI Number Information
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NPI Number | 1093535650
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Entity Type | Organization
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Legal Business Name | EVEN PITCH NURSING PSYCHIATRY, PC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1509 WILSON TERRACE
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City | GLENDALE
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State | CA
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Zip | 91206
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Country | US
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Telephone | 818-429-5882
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Fax |
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Provider Business Mailing Address
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Address Line | 9854 NATIONAL BLVD # 1439
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City | LOS ANGELES
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State | CA
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Zip | 90034-2713
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Country | US
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Telephone | 818-429-5882
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATTHEW M WHITE
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Credential | PMHNP-BC
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Telephone | 818-429-5882
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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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