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General NPI Number Information
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NPI Number | 1356008221
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Entity Type | Individual
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Provider Name | CATHERINE LANDRUM PMHNP B-C
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Gender | Female
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Dates
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Enumeration Date | 11/26/2021
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 1279 MEADOWBROOK AVE
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City | LOS ANGELES
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State | CA
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Zip | 90019-2816
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Country | US
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Telephone | 310-739-4571
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Fax |
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Provider Business Mailing Address
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Address Line | 2659 STATE ST
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City | CARLSBAD
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State | CA
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Zip | 92008-1627
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Country | US
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Telephone | 855-387-4378
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Fax | 760-683-6756
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 95019315
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License Number State | CA
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