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General NPI Number Information
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NPI Number | 1174250369
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Entity Type | Organization
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Legal Business Name | NURSIE MIMI, LLC
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Dates
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Enumeration Date | 08/07/2022
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Last Update Date | 10/26/2025
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Provider Practice Location Address
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Address Line | 650 N MIAMI AVE
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City | CLEVES
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State | OH
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Zip | 45002-9627
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Country | US
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Telephone | 513-498-3236
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Fax |
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Provider Business Mailing Address
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Address Line | 650 N MIAMI AVE
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City | CLEVES
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State | OH
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Zip | 45002-9627
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER-CEO
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Name | MRS. AMANDA GRACE ZENNI
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Credential | APRN, PMHNP-BC
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Telephone | 513-498-3075
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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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