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General NPI Number Information
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NPI Number | 1184514952
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Entity Type | Organization
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Legal Business Name | SUPERIOR MENTAL WELLNESS INC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 5353 G ST
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City | CHINO
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State | CA
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Zip | 91710-5250
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Country | US
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Telephone | 909-590-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 5433 SUNSET RIDGE DR
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City | JURUPA VALLEY
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State | CA
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Zip | 92509-3960
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Country | US
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Telephone | 714-612-0939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OSMOND WAHEED
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Credential | DO
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Telephone | 714-612-0939
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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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