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General NPI Number Information
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NPI Number | 1134857071
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Entity Type | Organization
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Legal Business Name | ART OF INTELLIGENT MINDS
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 8129 E LORENZO LN
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City | YUMA
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State | AZ
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Zip | 85365-8648
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Country | US
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Telephone | 928-318-7503
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Fax |
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Provider Business Mailing Address
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Address Line | 8129 E LORENZO LN
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City | YUMA
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State | AZ
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Zip | 85365-8648
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Country | US
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Telephone | 928-318-7503
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | RACHEL ALEEC ROBLES
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Credential |
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Telephone | 928-318-7503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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