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General NPI Number Information
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NPI Number | 1427815075
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Entity Type | Organization
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Legal Business Name | FOR ALL MENTAL HEALTH PSYCHIATRY, INC.
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Dates
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Enumeration Date | 02/29/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 888 PROSPECT ST STE 200
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City | LA JOLLA
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State | CA
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Zip | 92037-4261
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Country | US
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Telephone | 877-400-0540
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Fax |
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Provider Business Mailing Address
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Address Line | 13951 CHELMSFORD WALK
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City | WESTMINSTER
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State | CA
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Zip | 92683-3426
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Country | US
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Telephone | 877-400-0540
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTINA NANKIVELL
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Credential | PA
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Telephone | 877-400-0540
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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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