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General NPI Number Information
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NPI Number | 1306702451
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Entity Type | Organization
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Legal Business Name | THRIVE BRAIN AND MIND LLC
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 3785 ATTUCKS DR
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City | POWELL
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State | OH
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Zip | 43065-6080
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Country | US
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Telephone | 740-300-2080
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Fax | 614-522-6604
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Provider Business Mailing Address
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Address Line | 3785 ATTUCKS DR
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City | POWELL
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State | OH
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Zip | 43065-6080
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Country | US
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Telephone | 614-588-8177
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Fax | 614-522-6604
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Authorized Official
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Title or Position | OWNER
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Name | JOHN AZIZ
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Credential | MD
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Telephone | 740-300-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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