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General NPI Number Information
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NPI Number | 1831991694
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Entity Type | Organization
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Legal Business Name | FLOW THEORY PSYCHIATRY, A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 12264 EL CAMINO REAL STE 101
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City | SAN DIEGO
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State | CA
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Zip | 92130-3060
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Country | US
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Telephone | 909-645-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 7055 CHARMANT DR APT 97
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City | SAN DIEGO
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State | CA
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Zip | 92122-4340
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND PROVIDER
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Name | KIRSTEN MANALO
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Credential | PMHNP
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Telephone | 909-645-2500
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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 |
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License Number State |
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