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General NPI Number Information
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NPI Number | 1407744600
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Entity Type | Organization
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Legal Business Name | MINDFRAME, LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 708 MOBJACK PL
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1957
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Country | US
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Telephone | 757-873-1958
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Fax | 757-873-2143
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Provider Business Mailing Address
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Address Line | 708 MOBJACK PL
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-1957
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Country | US
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Telephone | 757-873-1958
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Fax | 757-873-2143
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON PAIGE CUNNINGHAM
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Credential | MSN, PMHNP-BC
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Telephone | 757-873-1958
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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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