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General NPI Number Information
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NPI Number | 1346056215
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Entity Type | Organization
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Legal Business Name | ROSE GARDEN PSYCHIATRIC NURSING SERVICES
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 4000 CAMINO TASSAJARA
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City | DANVILLE
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State | CA
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Zip | 94506-4711
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Country | US
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Telephone | 707-690-0814
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Fax |
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Provider Business Mailing Address
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Address Line | 201 COGGINS DR APT B305
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4573
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Country | US
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Telephone | 707-690-0814
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Fax | 352-329-4217
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | CHANTEL MARIE KILFORD
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Credential | NP
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Telephone | 707-690-0814
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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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