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General NPI Number Information
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NPI Number | 1225953755
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Entity Type | Organization
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Legal Business Name | NEW CHAPTER MENTAL HEALTH NURSING PC
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Dates
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Enumeration Date | 08/12/2026
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Last Update Date | 08/12/2026
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Provider Practice Location Address
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Address Line | 6386 ALVARADO CT STE 201-01
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City | SAN DIEGO
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State | CA
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Zip | 92120-4905
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Country | US
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Telephone | 760-985-7397
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Fax |
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Provider Business Mailing Address
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Address Line | 4612 REVILLO WAY
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City | SAN DIEGO
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State | CA
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Zip | 92115-4144
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Country | US
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Telephone | 760-985-7397
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KYLE MARTIN GAMBILL
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Credential | RN/PMHNP
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Telephone | 760-985-7397
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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 | NULL
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