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General NPI Number Information
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NPI Number | 1699589507
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Entity Type | Organization
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Legal Business Name | VJ TUTSON MD AND ASSOCIATES PC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 6330 SAN VICENTE BLVD STE 520
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City | LOS ANGELES
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State | CA
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Zip | 90048-5455
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Country | US
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Telephone | 310-482-1846
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Fax | 737-309-5138
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Provider Business Mailing Address
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Address Line | 11601 SHADOW CREEK PKWY STE 111-410
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City | PEARLAND
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State | TX
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Zip | 77584-7283
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Country | US
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Telephone | 310-482-1846
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Fax | 737-309-5138
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Authorized Official
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Title or Position | CEO/OWNER
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Name | VALERIE TUTSON
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Credential | MD
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Telephone | 310-482-1846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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