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General NPI Number Information
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NPI Number | 1073409959
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Entity Type | Organization
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Legal Business Name | MOTHER MINDS PERSONAL HEALTH CARE, LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 5040 JACKSON ST SPC 11
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-5341
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Country | US
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Telephone | 916-699-9184
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 JACKSON ST SPC 11
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-5341
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Country | US
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Telephone | 916-699-9184
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MELISSA MARIE RAM
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Credential | HEALTH CARE
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Telephone | 916-699-9184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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