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General NPI Number Information
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NPI Number | 1184326944
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Entity Type | Organization
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Legal Business Name | MORANTE PSYCHIATRIC NURSING PC
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 11900 AVALON BLVD STE B
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City | LOS ANGELES
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State | CA
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Zip | 90061-2866
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Country | US
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Telephone | 888-783-1883
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Fax | 888-653-3144
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Provider Business Mailing Address
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Address Line | 28802 GARNET CANYON DR
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City | SANTA CLARITA
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State | CA
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Zip | 91390-5263
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Country | US
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Telephone | 661-888-0195
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. PEDRO ESTRADA MORANTE
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Credential | NP, PMHNP-BC, FNP-BC
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Telephone | 661-888-0195
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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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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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