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General NPI Number Information
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NPI Number | 1407751498
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Entity Type | Organization
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Legal Business Name | MIND OVER MATTER TOTAL MENTAL WELLNESS
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 7285 CENTENNIAL GLEN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-5019
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Country | US
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Telephone | 580-729-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 7285 CENTENNIAL GLEN DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-5019
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Country | US
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Telephone | 580-729-1700
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. KARA MARIE SHRADER
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Credential | APRN, PMHNP-BC
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Telephone | 580-729-1700
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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 | NULL
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