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General NPI Number Information
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NPI Number | 1649116096
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Entity Type | Organization
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Legal Business Name | MONTEREY BAY PSYCHIATRY, ADVANCED PRACTICE NURSING INC.
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 05/02/2026
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Provider Practice Location Address
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Address Line | 9 DEL FINO PL STE 201
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City | CARMEL VALLEY
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State | CA
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Zip | 93924-9567
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Country | US
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Telephone | 831-200-3758
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Fax | 831-480-1840
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Provider Business Mailing Address
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Address Line | 126 CLOCK TOWER PL STE 104C
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City | CARMEL
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State | CA
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Zip | 93923-8791
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Country | US
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Telephone | 831-200-3758
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Fax | 831-480-1840
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Authorized Official
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Title or Position | OWNER
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Name | HALLEH ENTEKHABI
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Credential | DNP, PNP, PMHNP
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Telephone | 831-200-3758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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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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