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General NPI Number Information
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NPI Number | 1548100753
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Entity Type | Organization
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Legal Business Name | MIMI HEALTHCARE CORP
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 840 KINGSWOOD PATH
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City | MIDDLETOWN
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State | DE
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Zip | 19709-7528
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Country | US
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Telephone | 267-225-0939
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Fax |
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Provider Business Mailing Address
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Address Line | 840 KINGSWOOD PATH 840 KINGSWOOD PATH
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City | MIDDLETOWN
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State | DE
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Zip | 19709-7528
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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 | CHIEF LEGAL OFFICER
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Name | DR. MICHAEL HENDERSON
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Credential | JD, PHD, LLM, MS
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Telephone | 267-225-0939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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