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General NPI Number Information
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NPI Number | 1598432320
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Entity Type | Individual
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Provider Name | ANAM GULRAIZ PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/28/2021
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 3420 BRISTOL ST FL 6
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City | COSTA MESA
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State | CA
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Zip | 92626-7170
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Country | US
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Telephone | 714-386-9766
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Fax | 714-475-3716
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Provider Business Mailing Address
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Address Line | 301 BAYVIEW CIR STE 104
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2948
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Country | US
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Telephone | 310-926-5723
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Fax | 714-475-3716
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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 | 95017542
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License Number State | CA
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