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General NPI Number Information
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NPI Number | 1922907336
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Entity Type | Organization
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Legal Business Name | BECOMING PSYCHIATRY AND WELLNESS A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 517 S IVY AVE
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City | MONROVIA
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State | CA
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Zip | 91016-2827
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Country | US
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Telephone | 760-271-8564
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Fax |
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Provider Business Mailing Address
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Address Line | 517 S IVY AVE
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City | MONROVIA
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State | CA
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Zip | 91016-2827
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Country | US
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Telephone | 760-271-8564
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT & COO
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Name | JORGE BOYZO
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Credential | LCSW
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Telephone | 760-271-8564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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