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General NPI Number Information
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NPI Number | 1316850571
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Entity Type | Organization
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Legal Business Name | BODYMIND NEUROWELLNESS LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2400 BRIGHT RD
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City | FINDLAY
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State | OH
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Zip | 45840-5436
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Country | US
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Telephone | 419-701-5739
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 BRIGHT RD
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City | FINDLAY
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State | OH
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Zip | 45840-5436
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Country | US
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Telephone | 419-889-8832
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Fax |
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Authorized Official
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Title or Position | PROVIDER, APRN-CNP
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Name | JENNIFER ANN LONG
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Credential | PMHNP-BC
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Telephone | 419-889-8832
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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 | NULL
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