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General NPI Number Information
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NPI Number | 1326868027
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Entity Type | Organization
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Legal Business Name | PACIFIC PSYCHIATRIC CARE, LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 4081 J LEE BUILDING BEACH ROAD, GARAPAN
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | US
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Telephone | 670-286-2420
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 501961
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City | SAIPAN
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State | MP
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Zip | 96950-1961
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Country | US
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Telephone | 670-285-6242
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MONICA DAWN LEE
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Credential | APRN
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Telephone | 670-285-6242
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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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