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General NPI Number Information
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NPI Number | 1457161358
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Entity Type | Organization
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Legal Business Name | MINDFULL NEWTRITION LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 438 MAIN ST
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City | REISTERSTOWN
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State | MD
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Zip | 21136-1972
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Country | US
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Telephone | 800-671-8193
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Fax |
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Provider Business Mailing Address
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Address Line | 5 EMPIRE CT
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City | REISTERSTOWN
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State | MD
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Zip | 21136-6410
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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 | MONET Y DUCKETT
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Credential |
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Telephone | 800-671-8193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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