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General NPI Number Information
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NPI Number | 1205462488
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Entity Type | Organization
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Legal Business Name | POWERFUL MINDS PSYCHIATRY
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 3900 WESTERRE PKWY STE 300
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City | RICHMOND
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State | VA
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Zip | 23233-1339
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Country | US
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Telephone | 800-771-9811
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Fax |
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Provider Business Mailing Address
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Address Line | 5930 SWIFT FOX DR
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City | MOSELEY
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State | VA
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Zip | 23120-1777
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Country | US
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Telephone | 248-795-3923
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NURSEPRAC
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Name | NICOLE POWERS
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Credential |
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Telephone | 248-795-3923
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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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