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General NPI Number Information
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NPI Number | 1407365794
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Entity Type | Organization
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Legal Business Name | PIECE OF MIND NEUROPSYCHOLOGY INC.
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Dates
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Enumeration Date | 09/29/2017
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 3050 BROADWAY ST.
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City | BOULDER
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State | CO
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Zip | 80304-3154
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Country | US
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Telephone | 720-715-2212
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Fax | 888-314-8174
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Provider Business Mailing Address
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Address Line | PO BOX 2933
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City | SUNNYVALE
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State | CA
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Zip | 94087-0933
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Country | US
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Telephone | 858-221-6311
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Fax | 888-388-2142
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Authorized Official
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Title or Position | CEO
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Name | KAREN M MIKOLIC
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Credential | PHD
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Telephone | 408-221-7990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY8438
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License Number State | FL
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