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General NPI Number Information
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NPI Number | 1508246943
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Entity Type | Organization
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Legal Business Name | HAPPY MINDS LLC
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 9220 TEDDY LN STE 1600
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City | LONE TREE
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State | CO
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Zip | 80124-6756
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Country | US
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Telephone | 303-305-7785
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Fax |
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Provider Business Mailing Address
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Address Line | 9220 TEDDY LN STE 1600
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City | LONE TREE
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State | CO
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Zip | 80124-6756
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Country | US
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Telephone | 303-305-7785
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Fax | 786-930-4110
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Authorized Official
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Title or Position | PRESIDENT
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Name | KHAJA NAJIBUDDIN CHISTY
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Credential |
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Telephone | 720-224-6472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR51265
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License Number State | CO
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