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General NPI Number Information
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NPI Number | 1306693908
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Entity Type | Organization
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Legal Business Name | HOPE & HEART PSYCHIATRY
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Dates
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Enumeration Date | 05/01/2024
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 770 1ST AVE STE 250
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City | SAN DIEGO
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State | CA
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Zip | 92101-6170
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Country | US
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Telephone | 619-292-8304
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Fax | 619-393-0780
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Provider Business Mailing Address
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Address Line | 770 1ST AVE STE 250
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City | SAN DIEGO
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State | CA
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Zip | 92101-6170
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Country | US
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Telephone | 619-292-8304
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/ OWNER
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Name | MADALYN JASMINE COSENSCI
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Credential | DNP PMHNP BC
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Telephone | 619-267-9257
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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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