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General NPI Number Information
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NPI Number | 1053110197
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Entity Type | Organization
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Legal Business Name | ONE MIND AND BODY PSYCHIATRY
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 414 N BROADWAY
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City | DENVER
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State | CO
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Zip | 80203-3490
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Country | US
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Telephone | 720-613-9414
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Fax |
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Provider Business Mailing Address
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Address Line | 4688 HYLAND GREENS PL
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City | WESTMINSTER
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State | CO
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Zip | 80031-2537
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Country | US
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Telephone | 303-356-9576
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | BREANA LOREN WALTON
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Credential | APN, RXN, PMHNP-BC
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Telephone | 303-356-9576
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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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