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General NPI Number Information
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NPI Number | 1053955096
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Entity Type | Organization
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Legal Business Name | MIND YOUR MIND
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Dates
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Enumeration Date | 11/02/2019
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 2083 KLOCKNER RD
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City | HAMILTON
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State | NJ
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Zip | 08690-3415
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Country | US
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Telephone | 732-580-9096
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Fax | 640-888-7533
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Provider Business Mailing Address
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Address Line | 7 HERNANDEZ CT
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City | OLD BRIDGE
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State | NJ
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Zip | 08857-4406
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Country | US
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Telephone | 732-580-9096
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Fax | 640-888-7533
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Authorized Official
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Title or Position | OWNER / PRESIDENT
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Name | MRS. TANYA DUBINSKY
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Credential |
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Telephone | 732-580-9096
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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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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 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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