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General NPI Number Information
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NPI Number | 1083537492
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Entity Type | Organization
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Legal Business Name | NORIMIND MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 3220 SOUTH HIGUERA STREET STE 306
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401
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Country | US
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Telephone | 805-835-6535
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 BROAD ST STE 1187
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-6702
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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 | MEDICAL DIRECTOR
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Name | ABDELLATIF ANTHONY AICHOURI
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Credential | MD
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Telephone | 805-440-6671
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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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