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General NPI Number Information
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NPI Number | 1487367603
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Entity Type | Organization
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Legal Business Name | TARA VALENZUELA PSYCHIATRIC NURSING PRACTITIONER INC
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Dates
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Enumeration Date | 01/03/2023
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 136 ALLEN RD STE 100 #1021
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City | BAKERSFIELD
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State | CA
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Zip | 93314-3710
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Country | US
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Telephone | 661-770-6108
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Fax |
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Provider Business Mailing Address
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Address Line | 136 ALLEN RD STE 100 #1021
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City | BAKERSFIELD
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State | CA
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Zip | 93314-3710
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TARA VALENZUELA
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Credential | DNP, PMHNP-BC
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Telephone | 618-631-2882
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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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