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General NPI Number Information
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NPI Number | 1386469237
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Entity Type | Organization
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Legal Business Name | TRANSCEND BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 4452 PARK BLVD STE 204
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City | SAN DIEGO
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State | CA
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Zip | 92116-4039
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Country | US
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Telephone | 619-823-1382
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Fax |
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Provider Business Mailing Address
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Address Line | 4452 PARK BLVD STE 204
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City | SAN DIEGO
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State | CA
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Zip | 92116-4039
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Country | US
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Telephone | 619-823-1382
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ANTHONY KULETO
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Credential | MD
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Telephone | 858-692-8043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics 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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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