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General NPI Number Information
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NPI Number | 1366309148
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Entity Type | Organization
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Legal Business Name | MINDFUL VITALITY PARTNERS, LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5513 CENTER ST STE 2
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City | OMAHA
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State | NE
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Zip | 68106-3001
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Country | US
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Telephone | 402-427-0729
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Fax |
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Provider Business Mailing Address
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Address Line | 5513 CENTER ST STE 2
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City | OMAHA
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State | NE
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Zip | 68106-3001
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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 | CO FOUNDER/MEDICAL DIRECTOR
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Name | JESSICA JONES
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Credential | DHSC, PA-C,CAQ-PSYCH
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Telephone | 402-427-0729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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