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General NPI Number Information
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NPI Number | 1487169736
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Entity Type | Organization
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Legal Business Name | MINDFUL DERMATOLOGY, PLLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 9201 N CENTRAL EXPY STE 210
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City | DALLAS
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State | TX
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Zip | 75231-6033
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Country | US
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Telephone | 214-265-1818
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Fax | 214-265-1806
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Provider Business Mailing Address
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Address Line | 9201 N CENTRAL EXPY STE 210
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City | DALLAS
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State | TX
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Zip | 75231-6033
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Country | US
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Telephone | 214-265-1818
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Fax | 214-265-1806
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Authorized Official
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Title or Position | PRESIDENT
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Name | JENNIFER CLAY CATHER
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Credential | M.D.
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Telephone | 214-476-3002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | J9860
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License Number State | TX
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