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General NPI Number Information
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NPI Number | 1447142732
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Entity Type | Organization
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Legal Business Name | INSIDE OUT PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 07/19/2025
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Last Update Date | 07/19/2025
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Provider Practice Location Address
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Address Line | 11317 FITZPATRICK DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8314
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Country | US
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Telephone | 213-808-4940
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Fax |
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Provider Business Mailing Address
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Address Line | 11317 FITZPATRICK DR
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-8314
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Country | US
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Telephone | 213-808-4940
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. DEANTE MARKEY
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Credential | PMHNP-BC, FNP-BC
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Telephone | 213-808-4940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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