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General NPI Number Information
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NPI Number | 1144973355
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Entity Type | Organization
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Legal Business Name | EMPOWER MIND PLLC
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 400 STONEBROOK PKWY UNIT 205
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City | FRISCO
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State | TX
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Zip | 75036-1181
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Country | US
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Telephone | 469-977-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 400 STONEBROOK PKWY UNIT 205
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City | FRISCO
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State | TX
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Zip | 75036-1181
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Country | US
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Telephone | 469-977-1100
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RESHMI DUTTA
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Credential |
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Telephone | 972-977-8388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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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 | 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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