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General NPI Number Information
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NPI Number | 1730728742
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Entity Type | Individual
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Provider Name | KENNETH SAAVEDRA SALDUA NP-C, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 12/23/2019
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 41593 WINCHESTER RD STE 200
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City | TEMECULA
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State | CA
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Zip | 92590-4857
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Country | US
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Telephone | 951-404-0701
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Fax | 951-639-6073
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Provider Business Mailing Address
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Address Line | 24448 RESERVE CT
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City | MENIFEE
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State | CA
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Zip | 92584-0364
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Country | US
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Telephone | 909-964-3951
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Fax | 951-639-6073
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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 | 95013934
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95042465
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License Number State | CA
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