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General NPI Number Information
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NPI Number | 1275389033
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Entity Type | Organization
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Legal Business Name | MIND & BEHAVIORAL HEALTH CORP
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Dates
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Enumeration Date | 04/24/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 1401 COMMERCIAL WAY STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93309-0628
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Country | US
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Telephone | 661-570-1520
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Fax | 661-552-4533
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Provider Business Mailing Address
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Address Line | 13600 PIXTON AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93311-8651
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Country | US
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Telephone | 661-570-1520
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Fax | 661-552-4533
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMA YASAEI MEHR JARDI
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Credential | MD
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Telephone | 925-800-9622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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