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General NPI Number Information
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NPI Number | 1417810516
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Entity Type | Organization
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Legal Business Name | VITAL MIND PSYCHIATRY INC.
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2372 MORSE AVE STE 421
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City | IRVINE
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State | CA
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Zip | 92614-6234
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Country | US
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Telephone | 951-899-0127
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Fax | 951-889-0127
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Provider Business Mailing Address
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Address Line | 27371 DESERT WILLOW ST
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City | MURRIETA
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State | CA
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Zip | 92562-4390
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Country | US
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Telephone | 951-899-0127
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Fax | 951-899-0127
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Authorized Official
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Title or Position | OWNER
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Name | SAMIR M HAMED
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Credential | PMHNP
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Telephone | 714-820-0619
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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