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General NPI Number Information
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NPI Number | 1336917061
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Entity Type | Organization
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Legal Business Name | COASTAL SERENITY PSYCHIATRY A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 11440 W BERNARDO CT STE 300
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City | SAN DIEGO
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State | CA
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Zip | 92127-1644
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Country | US
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Telephone | 760-884-4729
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Fax | 269-210-2595
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Provider Business Mailing Address
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Address Line | 13163 RUSSET LEAF LN
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City | SAN DIEGO
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State | CA
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Zip | 92129-2377
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Country | US
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Telephone | 269-615-1147
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH PAI
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Credential | NP
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Telephone | 760-884-4729
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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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