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General NPI Number Information
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NPI Number | 1225987985
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Entity Type | Organization
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Legal Business Name | CLEAR VISION PSYCHIATRIC CONSULTANTS PLLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 9832 LOGANS RIDGE
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City | CONVERSE
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State | TX
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Zip | 78109
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Country | US
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Telephone | 210-675-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 9832 LOGANS RIDGE DR
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City | CONVERSE
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State | TX
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Zip | 78109-2765
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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 | OWNER
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Name | ROCHELLE STATEN
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Credential |
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Telephone | 210-952-7316
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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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