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General NPI Number Information
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NPI Number | 1275812687
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Entity Type | Organization
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Legal Business Name | FLYING THRU YOUR MIND, LLC
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Dates
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Enumeration Date | 08/16/2011
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Last Update Date | 08/16/2011
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Provider Practice Location Address
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Address Line | 160 W. CARMEL DRIVE SUITE 220
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-848-5039
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Fax |
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Provider Business Mailing Address
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Address Line | 484 E. CARMEL DRIVE #337
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City | CARMEL
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State | IN
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Zip | 46032
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Country | US
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Telephone | 317-848-5039
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | LINDA J. HANDY
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Credential | MINISTER (ORDAINED 2
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Telephone | 317-848-5039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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