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General NPI Number Information
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NPI Number | 1851153407
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Entity Type | Organization
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Legal Business Name | UNIVERSAL MENTAL HEALTH SERVICES NURSING, PC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 2311 N TRACY BLVD STE A
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City | TRACY
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State | CA
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Zip | 95376-2426
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Country | US
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Telephone | 209-802-2929
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Fax | 209-714-2398
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Provider Business Mailing Address
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Address Line | 2311 N TRACY BLVD STE A
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City | TRACY
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State | CA
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Zip | 95376-2426
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Country | US
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Telephone | 209-802-2929
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER- OWN
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Name | PATIENCE MORIKANG
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Credential | PMHNP
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Telephone | 408-607-9335
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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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