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General NPI Number Information
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NPI Number | 1558901967
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Entity Type | Individual
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Provider Name | NICOLE AMIN DELPASAND PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2020
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1752 S VICTORIA AVE STE 250
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City | VENTURA
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State | CA
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Zip | 93003-6152
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Country | US
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Telephone | 805-650-3880
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 941305
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City | SIMI VALLEY
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State | CA
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Zip | 93094-1305
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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 |
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Name |
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Credential |
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Telephone |
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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 | 95016179
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95130440
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 845059
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License Number State | NV
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