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General NPI Number Information
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NPI Number | 1023896651
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Entity Type | Organization
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Legal Business Name | BEE MINDFUL MENTAL HEALTH AND WELLNESS CENTER, PLLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 3080 VISTA BLVD STE 106
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City | SPARKS
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State | NV
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Zip | 89436-6705
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Country | US
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Telephone | 775-393-9212
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Fax |
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Provider Business Mailing Address
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Address Line | 6843 RIVALDO DRIVE
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City | SPARKS
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State | NV
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Zip | 89436
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Country | US
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Telephone | 940-257-1042
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE PRACTITIONER
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Name | ANGELA NICOLE MANGUM
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Credential |
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Telephone | 775-393-9212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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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