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General NPI Number Information
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NPI Number | 1578413985
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Entity Type | Organization
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Legal Business Name | ENTRELUZ PSYCHIATRY: A NURSING CORPORATION
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 2729 4TH AVE STE 3
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City | SAN DIEGO
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State | CA
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Zip | 92103-6223
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Country | US
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Telephone | 619-304-2101
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Fax | 619-488-3894
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Provider Business Mailing Address
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Address Line | 2729 4TH AVE STE 3
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City | SAN DIEGO
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State | CA
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Zip | 92103-6223
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Country | US
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Telephone | 619-304-2101
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Fax | 619-488-3894
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. WILLIAM L HERNANDEZ
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Credential | NP
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Telephone | 323-714-8771
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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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