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General NPI Number Information
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NPI Number | 1417708439
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Entity Type | Organization
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Legal Business Name | HEALING MINDS PSYCHIATRY PLLC
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1655 KY-3094
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City | EAST BERNSTADT
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State | KY
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Zip | 40729-6216
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Country | US
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Telephone | 606-729-5372
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Fax | 606-221-0848
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Provider Business Mailing Address
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Address Line | 280 LEVI JACKSON MILL RD STE A
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City | LONDON
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State | KY
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Zip | 40744-8325
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FARID ASAYESH
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Credential | NP
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Telephone | 606-224-8639
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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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