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General NPI Number Information
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NPI Number | 1609792530
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Entity Type | Organization
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Legal Business Name | VISIONARY MENTAL & BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 1350 CARPINTERIA ST
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City | CHULA VISTA
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State | CA
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Zip | 91913-2520
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Country | US
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Telephone | 540-664-3885
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 CARPINTERIA ST
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City | CHULA VISTA
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State | CA
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Zip | 91913-2520
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Country | US
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Telephone | 540-664-3885
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA UPDEGRAFF
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Credential |
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Telephone | 540-664-3885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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