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General NPI Number Information
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NPI Number | 1033029855
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Entity Type | Organization
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Legal Business Name | VITALMIND MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/11/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 451 ANDOVER ST STE 130
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5070
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Country | US
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Telephone | 978-808-0615
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Fax | 228-220-7697
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Provider Business Mailing Address
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Address Line | 451 ANDOVER ST STE 130
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-5070
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Country | US
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Telephone | 978-808-0615
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Fax | 228-220-7697
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | PETER N KAMANDE
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Credential | PMHNP-BC
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Telephone | 978-808-0615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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