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General NPI Number Information
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NPI Number | 1205641222
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Entity Type | Organization
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Legal Business Name | BEYOND MIND TMS AND KETAMINE TREATMENT CENTER
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 7855 FAY AVE STE 200
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City | LA JOLLA
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State | CA
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Zip | 92037-4267
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Country | US
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Telephone | 202-769-7980
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Fax |
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Provider Business Mailing Address
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Address Line | 7855 FAY AVE STE 200
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City | LA JOLLA
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State | CA
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Zip | 92037-4267
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | BAHRAM PANBEHI
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Credential | MD
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Telephone | 202-769-7980
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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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