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NPI 1477286169

NPI 1477286169 : SPLENDID HOPE PSYCHIATRY PLLC : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1477286169
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPLENDID HOPE PSYCHIATRY PLLC 
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Dates
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    Enumeration Date     |    07/08/2022
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    Last Update Date     |    04/16/2024
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Provider Practice Location Address
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    Address Line         |    1820 PRESTON PARK BLVD STE 2200 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-3614
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    Country              |    US
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    Telephone            |    469-636-7655
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    Fax                  |    214-592-8141
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Provider Business Mailing Address
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    Address Line         |    1820 PRESTON PARK BLVD STE 2200 
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-3614
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    Country              |    US
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    Telephone            |    469-636-7655
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    Fax                  |    214-592-8141
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Authorized Official
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    Title or Position    |    OWNER OF ENTITY
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    Name                 |     JOYCE W MWANIKI 
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    Credential           |    DNP, PMHNP-BC
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    Telephone            |    469-636-7655
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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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