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General NPI Number Information
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NPI Number | 1043105026
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Entity Type | Organization
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Legal Business Name | THE UNDISPUTED MINDS
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 17325 EUCLID AVE STE 3039
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City | CLEVELAND
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State | OH
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Zip | 44112-1255
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Country | US
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Telephone | 216-239-7361
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Fax |
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Provider Business Mailing Address
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Address Line | 17325 EUCLID AVE STE 3039
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City | CLEVELAND
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State | OH
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Zip | 44112-1255
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Country | US
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Telephone | 216-239-7361
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. PARIS C KING
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Credential |
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Telephone | 216-239-7361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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