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General NPI Number Information
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NPI Number | 1295678472
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Entity Type | Organization
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Legal Business Name | MYNDFUL MEDICATIONS NURSING P.C.
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 2804 GATEWAY OAKS DR STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95833-4346
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Country | US
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Telephone | 619-333-8130
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Fax |
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Provider Business Mailing Address
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Address Line | 2804 GATEWAY OAKS DR STE 100
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City | SACRAMENTO
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State | CA
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Zip | 95833-4346
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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 | CEO
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Name | AMY BURCH
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Credential | PMHNP
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Telephone | 619-333-8130
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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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