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General NPI Number Information
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NPI Number | 1336809847
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL MINDS PC
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Dates
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Enumeration Date | 12/23/2021
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 1178 CHARNELTON ST
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City | EUGENE
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State | OR
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Zip | 97401-3431
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Country | US
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Telephone | 541-777-8805
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Fax | 541-314-9597
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Provider Business Mailing Address
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Address Line | 1178 CHARNELTON ST
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City | EUGENE
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State | OR
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Zip | 97401-3431
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Country | US
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Telephone | 541-777-8805
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Fax | 541-314-9597
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | BECCA D HENRY
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Credential | PMHNP
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Telephone | 410-382-2509
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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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