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General NPI Number Information
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NPI Number | 1518667369
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Entity Type | Organization
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Legal Business Name | OPEN MINDS PSYCHIATRY
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 180 PROMENADE CIR STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95834-2952
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Country | US
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Telephone | 916-926-6650
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Fax | 916-926-6651
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Provider Business Mailing Address
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Address Line | 180 PROMENADE CIR STE 300
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City | SACRAMENTO
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State | CA
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Zip | 95834-2952
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Country | US
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Telephone | 916-926-6650
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Fax | 916-926-6651
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Authorized Official
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Title or Position | CEO
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Name | HALIMA LAWAL
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Credential | PMHNP-BC
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Telephone | 916-926-6650
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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 |
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License Number State |
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