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General NPI Number Information
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NPI Number | 1245943596
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Entity Type | Organization
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Legal Business Name | UNITED PSYCHIATRY, INC.
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 1049 EL MONTE AVE STE C755
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2398
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Country | US
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Telephone | 650-600-0107
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Fax |
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Provider Business Mailing Address
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Address Line | 1049 EL MONTE AVE STE C-755
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2398
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Country | US
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Telephone | 650-441-8435
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | DR. PARVATHI NANJUNDIAH
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Credential | MD
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Telephone | 650-441-8435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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