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General NPI Number Information
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NPI Number | 1417833203
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Entity Type | Organization
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Legal Business Name | MIND WITH MATTER HEALTH
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3918 FORD ST
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City | METAIRIE
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State | LA
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Zip | 70002-6811
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Country | US
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Telephone | 504-782-3674
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Fax |
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Provider Business Mailing Address
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Address Line | 10004 SAINT PAUL AVE
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City | RIVER RIDGE
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State | LA
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Zip | 70123-1421
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Country | US
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Telephone | 504-782-3674
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | DR. TRAVIS A BATISTE
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Credential | PHARMD
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Telephone | 504-782-3674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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