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General NPI Number Information
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NPI Number | 1144956392
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Entity Type | Organization
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Legal Business Name | MIND REBIRTH PLLC
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 07/29/2022
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Provider Practice Location Address
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Address Line | 3923 RIDGEDALE ST
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City | MEMPHIS
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State | TN
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Zip | 38127-4036
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Country | US
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Telephone | 901-208-6984
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Fax |
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Provider Business Mailing Address
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Address Line | 3923 RIDGEDALE ST
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City | MEMPHIS
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State | TN
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Zip | 38127-4036
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Country | US
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Telephone | 901-208-6984
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MISS VICKIE MICHELLE JOHNSON
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Credential | MASTERS
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Telephone | 901-208-6984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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