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General NPI Number Information
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NPI Number | 1255242699
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Entity Type | Organization
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Legal Business Name | INNER LUZ PSYCHIATRY NURSING INC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 3605 LONG BEACH BLVD STE 321
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City | LONG BEACH
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State | CA
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Zip | 90807-4025
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Country | US
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Telephone | 323-366-4994
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Fax | 323-372-2669
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Provider Business Mailing Address
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Address Line | 3605 LONG BEACH BLVD STE 321
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City | LONG BEACH
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State | CA
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Zip | 90807-4025
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Country | US
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Telephone | 323-366-4994
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Fax | 323-372-2669
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MR. ROBERTO JIMENEZ
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Credential | NP
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Telephone | 323-366-4994
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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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