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General NPI Number Information
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NPI Number | 1235938440
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Entity Type | Organization
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Legal Business Name | MINDFUL RETREAT
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3296 WESTERVILLE RD # 1068
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City | COLUMBUS
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State | OH
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Zip | 43224-3790
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Country | US
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Telephone | 614-300-7976
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Fax |
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Provider Business Mailing Address
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Address Line | 3986 SWEET SHADOW AVE
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City | COLUMBUS
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State | OH
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Zip | 43230-7399
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Country | US
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Telephone | 614-300-7976
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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 | SHARION JONE
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Credential |
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Telephone | 216-269-6202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 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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