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General NPI Number Information
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NPI Number | 1265373948
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Entity Type | Organization
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Legal Business Name | SELF CARE PSYCHIATRY LLC
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Dates
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Enumeration Date | 04/04/2026
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Last Update Date | 04/04/2026
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Provider Practice Location Address
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Address Line | 2400 TAMARACK AVE STE 201
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-5559
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Country | US
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Telephone | 860-419-0708
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Fax |
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Provider Business Mailing Address
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Address Line | 60 PAPER CHASE
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City | SOUTH WINDSOR
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State | CT
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Zip | 06074-2260
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Country | US
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Telephone | 860-419-0708
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GABRIELA R. SELF
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Credential | DNP APRN PMHNP-C
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Telephone | 860-419-0708
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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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