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General NPI Number Information
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NPI Number | 1265362768
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Entity Type | Organization
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Legal Business Name | THE TRAUMA INFORMED PATIENT
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Dates
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Enumeration Date | 05/19/2026
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Last Update Date | 05/19/2026
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Provider Practice Location Address
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Address Line | 5835 CALLAGHAN ROAD SUITE 207
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City | SAN ANTONIO
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State | TX
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Zip | 78228
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Country | US
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Telephone | 210-580-4626
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Fax | 210-468-7246
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Provider Business Mailing Address
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Address Line | 13423 BLANCO RD STE 329
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City | SAN ANTONIO
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State | TX
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Zip | 78216-2187
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Country | US
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Telephone | 210-580-4626
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Fax | 210-468-7246
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Authorized Official
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Title or Position | OWNER
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Name | COLLEEN LEE
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Credential | PMHNP-BC
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Telephone | 210-580-4626
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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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