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General NPI Number Information
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NPI Number | 1326919408
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Entity Type | Organization
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Legal Business Name | MINDFUL HEALING GROUP
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Dates
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Enumeration Date | 09/13/2025
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Last Update Date | 09/13/2025
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Provider Practice Location Address
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Address Line | 8506 SIX FORKS RD STE 202
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City | RALEIGH
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State | NC
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Zip | 27615-3260
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Country | US
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Telephone | 919-297-2762
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Fax | 910-500-5238
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Provider Business Mailing Address
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Address Line | 8506 SIX FORKS RD STE 202
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City | RALEIGH
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State | NC
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Zip | 27615-3260
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Country | US
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Telephone | 919-297-2762
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Fax | 910-500-5238
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Authorized Official
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Title or Position | PROVIDER
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Name | ASHLEY LYNN CUNNINGHAM
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Credential | PMHNP
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Telephone | 919-297-2762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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