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General NPI Number Information
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NPI Number | 1013892348
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Entity Type | Organization
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Legal Business Name | MINDSET AND ASSOCIATES PC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 13258 DOMINUS WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-7233
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Country | US
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Telephone | 615-483-0188
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Fax |
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Provider Business Mailing Address
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Address Line | 2955 NEW POINT CIRCLE 1147
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922
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Country | US
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Telephone | 719-445-9936
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. CHARLES WILLIAMS
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Credential | PHD
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Telephone | 615-483-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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