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General NPI Number Information
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NPI Number | 1972260487
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Entity Type | Individual
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Provider Name | TIMOTHY TU MSN,PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 11/18/2021
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Last Update Date | 08/17/2026
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Provider Practice Location Address
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Address Line | 18003 SKY PARK CIR STE H2
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City | IRVINE
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State | CA
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Zip | 92614-6526
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Country | US
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Telephone | 949-665-9136
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Fax |
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Provider Business Mailing Address
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Address Line | 18003 SKY PARK CIR STE H2
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City | IRVINE
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State | CA
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Zip | 92614-6526
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Country | US
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Telephone | 949-665-9136
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Fax |
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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 | 95041029
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License Number State | CA
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