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General NPI Number Information
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NPI Number | 1225937824
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Entity Type | Organization
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Legal Business Name | VERONICA DEATRICK NP NURSING CORP
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 855 RANCHEROS DR
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City | SAN MARCOS
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State | CA
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Zip | 92069
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Country | US
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Telephone | 760-502-0305
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Fax | 985-202-8234
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Provider Business Mailing Address
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Address Line | 310 S TWIN OAKS VALLEY RD STE 107
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City | SAN MARCOS
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State | CA
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Zip | 92078-4387
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Country | US
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Telephone | 760-502-0305
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Fax | 985-202-8234
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Authorized Official
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Title or Position | CEO
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Name | VERONICA DEATRICK
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Credential |
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Telephone | 760-502-0305
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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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