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General NPI Number Information
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NPI Number | 1144963307
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Entity Type | Organization
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Legal Business Name | MINDFUL PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 04/15/2022
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 300 MAIN ST
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City | VESTAL
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State | NY
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Zip | 13850-1568
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Country | US
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Telephone | 607-205-3237
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Fax | 607-258-9183
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Provider Business Mailing Address
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Address Line | 300 MAIN ST
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City | VESTAL
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State | NY
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Zip | 13850-1568
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Country | US
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Telephone | 607-205-3237
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Fax | 607-258-9183
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | SALVATORE ANTHONLY ARGIRO
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Credential | MD
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Telephone | 607-205-3237
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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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