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General NPI Number Information
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NPI Number | 1386390235
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Entity Type | Organization
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Legal Business Name | AURA PSYCHIATRY
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 10127 MOROCCO ST STE 113
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City | SAN ANTONIO
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State | TX
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Zip | 78216-3943
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Country | US
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Telephone | 973-634-2547
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Fax |
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Provider Business Mailing Address
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Address Line | 10127 MOROCCO ST
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City | SAN ANTONIO
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State | TX
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Zip | 78216-3943
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Country | US
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Telephone | 469-599-2872
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FARHEEN MAKANI
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Credential | PMHNP-BC
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Telephone | 512-767-8582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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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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