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General NPI Number Information
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NPI Number | 1063378172
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Entity Type | Organization
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Legal Business Name | MINDSPACE HEALTH
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 15 W HIGH ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2103
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Country | US
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Telephone | 908-366-7862
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Fax |
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Provider Business Mailing Address
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Address Line | 15 W HIGH ST
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City | SOMERVILLE
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State | NJ
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Zip | 08876-2103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | PADMA PALVAI
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Credential | MD
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Telephone | 908-239-3056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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