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General NPI Number Information
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NPI Number | 1275443897
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Entity Type | Organization
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Legal Business Name | TELEPSYCARE LLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 611 GATEWAY BLVD STE 120
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City | SOUTH SAN FRANCISCO
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State | CA
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Zip | 94080-7066
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Country | US
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Telephone | 650-370-2750
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Fax | 650-370-2750
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Provider Business Mailing Address
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Address Line | PO BOX 2613
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City | FERNLEY
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State | NV
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Zip | 89408-2613
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Country | US
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Telephone | 650-370-2750
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Fax | 650-370-2750
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUSAN WORD
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Credential |
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Telephone | 650-370-2750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 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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