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General NPI Number Information
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NPI Number | 1093662223
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Entity Type | Organization
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Legal Business Name | MINDFULLY GUIDED, LLC
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 6 FAIR OAKS CT N
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City | GREENVILLE
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State | RI
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Zip | 02828-2511
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Country | US
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Telephone | 952-452-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 6 FAIR OAKS CT N
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City | GREENVILLE
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State | RI
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Zip | 02828-2511
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Country | US
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Telephone | 952-452-1580
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Fax |
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Authorized Official
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Title or Position | REGISTERED DIETITIAN
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Name | ALEXIS CULHANE
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Credential | MS, RDN, LD
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Telephone | 952-452-1580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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