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General NPI Number Information
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NPI Number | 1295659480
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Entity Type | Organization
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Legal Business Name | SPECTRUM MENTAL HEALTH NURSING INC.
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 247 E BOBIER DR
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City | VISTA
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State | CA
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Zip | 92084-3026
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Country | US
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Telephone | 510-283-8560
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Fax | 858-216-1902
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Provider Business Mailing Address
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Address Line | 1111 6TH AVE STE 550
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City | SAN DIEGO
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State | CA
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Zip | 92101-5211
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Country | US
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Telephone | 510-283-8560
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Fax | 858-216-1902
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Authorized Official
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Title or Position | PMHNP
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Name | MICHAEL S FITZGERALD
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Credential | PMHNP
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Telephone | 510-283-8560
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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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