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General NPI Number Information
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NPI Number | 1194531491
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Entity Type | Organization
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Legal Business Name | TRANSFORMING MINDS MENTAL HEALTH SERVICES PC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 2316 ORCHARD PKWY STE 210
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City | TRACY
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State | CA
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Zip | 95377-7324
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Country | US
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Telephone | 786-332-7987
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Fax |
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Provider Business Mailing Address
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Address Line | 2316 ORCHARD PKWY STE 210
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City | TRACY
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State | CA
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Zip | 95377-7324
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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 | BOARD MEMBER
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Name | AHSAN KHALID
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Credential | MD
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Telephone | 786-332-7987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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