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General NPI Number Information
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NPI Number | 1023986593
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Entity Type | Organization
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Legal Business Name | MENTE SANA
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 67 E WATER ST
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-2535
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Country | US
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Telephone | 608-381-0350
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Fax |
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Provider Business Mailing Address
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Address Line | 868 FRANKLIN AVE
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City | COLUMBUS
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State | OH
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Zip | 43205-1138
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Country | US
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Telephone | 608-381-0350
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER/OWNE
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Name | SARAH M FORTIN
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Credential | MS, APRN, PMHNP-BC
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Telephone | 608-381-0350
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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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