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General NPI Number Information
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NPI Number | 1366203283
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Entity Type | Organization
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Legal Business Name | R.B PSYCHIATRIC HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 1814 8TH AVE STE B7
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City | FORT WORTH
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State | TX
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Zip | 76110-1354
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Country | US
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Telephone | 817-865-5365
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Fax | 817-865-5372
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Provider Business Mailing Address
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Address Line | 698 GRAPEVINE HWY # 155
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City | HURST
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State | TX
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Zip | 76054-2815
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Country | US
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Telephone | 817-865-5365
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Fax | 817-865-5372
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Authorized Official
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Title or Position | PMHNP
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Name | LAURENTINE UWAMAHORO
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Credential | NP
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Telephone | 817-865-5365
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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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