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General NPI Number Information
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NPI Number | 1396360269
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Entity Type | Organization
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Legal Business Name | RESTORING MINDS BEHAVIORAL SERVICES LLC
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Dates
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Enumeration Date | 06/16/2020
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 2909 E ARKANSAS LN STE C
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City | ARLINGTON
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State | TX
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Zip | 76010-6930
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Country | US
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Telephone | 214-727-7900
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Fax | 682-238-0376
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Provider Business Mailing Address
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Address Line | PO BOX 183474
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City | ARLINGTON
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State | TX
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Zip | 76096-3474
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Country | US
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Telephone | 682-246-1748
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Fax | 855-956-4363
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Authorized Official
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Title or Position | OWNER
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Name | KEMI FAWEHINMI
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Credential |
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Telephone | 682-246-1748
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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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