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General NPI Number Information
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NPI Number | 1003604323
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Entity Type | Organization
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Legal Business Name | MINDOAK PSYCHIATRY PLLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 1400 NORTH COIT RD SUITE 1203 OFFICE 5
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 214-548-1291
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Fax |
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Provider Business Mailing Address
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Address Line | 8751 COLLIN MCKINNEY PKWY STE 1102
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City | MCKINNEY
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State | TX
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Zip | 75070-1872
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Country | US
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Telephone | 214-548-1291
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA JAIYESIMI
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Credential | PMHNP
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Telephone | 469-844-7061
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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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