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General NPI Number Information
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NPI Number | 1407765647
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Entity Type | Organization
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Legal Business Name | MIND & MATTER BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 209 E BURLINGTON ST
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City | IOWA CITY
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State | IA
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Zip | 52240
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Country | US
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Telephone | 319-250-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 209 E BURLINGTON ST
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City | IOWA CITY
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State | IA
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Zip | 52240
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Country | US
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Telephone | 319-250-4101
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSOCIATE
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Name | CHRISTOPHER RYAN HECK
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Credential | PHYSICIAN ASSOCIATE
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Telephone | 920-210-2478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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