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General NPI Number Information
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NPI Number | 1518790104
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Entity Type | Organization
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Legal Business Name | M PABAND NURSING, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 8851 CENTER DR STE 400
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City | LA MESA
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State | CA
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Zip | 91942-3051
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Country | US
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Telephone | 619-839-9684
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Fax |
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Provider Business Mailing Address
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Address Line | 243 S ESCONDIDO BLVD # 118
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City | ESCONDIDO
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State | CA
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Zip | 92025-4116
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Country | US
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Telephone | 619-839-9684
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MASSOODA PABAND
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Credential | NP
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Telephone | 619-839-9684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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