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General NPI Number Information
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NPI Number | 1407809650
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PSYCHIATRIC MEDICAL GROUP
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 3478 BUSKIRK AVE, SUITE 219
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4346
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Country | US
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Telephone | 925-934-0800
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Fax | 925-952-4032
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Provider Business Mailing Address
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Address Line | 3478 BUSKIRK AVE SUITE 219
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City | PLEASANT HILL
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State | CA
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Zip | 94523-4346
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Country | US
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Telephone | 925-934-0800
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Fax | 925-952-4032
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Authorized Official
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Title or Position | PRESIDENT
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Name | PETER BRANDES
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Credential | MD
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Telephone | 925-934-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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