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General NPI Number Information
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NPI Number | 1548053341
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Entity Type | Organization
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Legal Business Name | MIND AND MOTION WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 300 S HAYNE ST # 106
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City | MONROE
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State | NC
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Zip | 28112-5505
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Country | US
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Telephone | 704-803-2891
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Fax | 704-218-2830
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Provider Business Mailing Address
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Address Line | 784 ALEXANDER COMMONS DR
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City | MONROE
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State | NC
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Zip | 28112-7650
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Country | US
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Telephone | 412-983-9388
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Fax | 704-218-2830
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Authorized Official
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Title or Position | CEO
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Name | MERCEDES R WHITWORTH
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Credential | NP
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Telephone | 412-983-9388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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