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General NPI Number Information
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NPI Number | 1780312116
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Entity Type | Organization
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Legal Business Name | PALOMA PSYCHIATRY AND MENTAL HEALTH
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 13625 POND SPRINGS RD STE 105
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City | AUSTIN
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State | TX
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Zip | 78729-4400
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Country | US
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Telephone | 512-893-1515
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Fax | 512-503-8015
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Provider Business Mailing Address
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Address Line | 13625 POND SPRINGS RD STE 105
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City | AUSTIN
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State | TX
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Zip | 78729-4400
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Country | US
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Telephone | 512-893-1515
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Fax | 512-503-8015
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Authorized Official
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Title or Position | OWNER, PROVIDER
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Name | MRS. ERICA NAVAIRA BUCH
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Credential | APRN, PMHNP-BC
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Telephone | 973-896-7218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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