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General NPI Number Information
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NPI Number | 1427877794
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Entity Type | Organization
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Legal Business Name | MINDREACH LLC
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 8811 FM 1464 RD APT 4302
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City | RICHMOND
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State | TX
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Zip | 77407-3753
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Country | US
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Telephone | 832-209-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 8811 FM 1464 RD APT 4302
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City | RICHMOND
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State | TX
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Zip | 77407-3753
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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 | CO-FOUNDER
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Name | HASAN AHMED
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Credential |
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Telephone | 832-209-7546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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