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General NPI Number Information
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NPI Number | 1457173445
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Entity Type | Organization
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Legal Business Name | HEARTPOINT PSYCHIATRY AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 1428 PHILLIPS LN. SUITE 203
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401
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Country | US
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Telephone | 805-704-2145
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Fax |
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Provider Business Mailing Address
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Address Line | 437 HIGHLAND DR
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City | LOS OSOS- BAYWOOD
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State | CA
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Zip | 93402
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Country | US
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Telephone | 805-704-2145
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Fax |
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Authorized Official
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Title or Position | CEO, CFO, SECRETARY
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Name | CHRISTA ANNE ROBERTSON
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Credential | NP
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Telephone | 805-704-2145
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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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