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General NPI Number Information
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NPI Number | 1033844501
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Entity Type | Organization
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Legal Business Name | MENTALIZING MINDS PLLC
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Dates
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Enumeration Date | 07/19/2022
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 302 SAUNDERS RD STE 200
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City | RIVERWOODS
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State | IL
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Zip | 60015-3897
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Country | US
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Telephone | 651-315-3410
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Fax |
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Provider Business Mailing Address
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Address Line | 900 LEE ST UNIT 209
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City | DES PLAINES
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State | IL
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Zip | 60016-6581
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Country | US
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Telephone | 651-315-3410
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Fax |
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Authorized Official
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Title or Position | CO-DIRECTOR
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Name | DR. EDWARD PATZELT
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Credential | PHD
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Telephone | 651-315-3410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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