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General NPI Number Information
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NPI Number | 1396611646
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Entity Type | Organization
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Legal Business Name | MINDFUL MINDS PSYCHIATRY
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 1207 DELAWARE AVE # 1461
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City | WILMINGTON
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State | DE
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Zip | 19806-4743
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Country | US
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Telephone | 215-209-9491
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Fax | 215-209-9491
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Provider Business Mailing Address
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Address Line | 1207 DELAWARE AVE # 1461
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City | WILMINGTON
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State | DE
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Zip | 19806-4743
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Country | US
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Telephone | 215-209-9491
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Fax | 215-209-9491
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Authorized Official
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Title or Position | PMHNP-OWNER
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Name | KIANA HOLDEN
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Credential |
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Telephone | 215-209-9491
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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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