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General NPI Number Information
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NPI Number | 1568144327
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Entity Type | Organization
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Legal Business Name | MIND MATTERS, PLLC
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Dates
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Enumeration Date | 08/02/2023
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2300 W SAHARA AVE STE 800
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City | LAS VEGAS
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State | NV
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Zip | 89102-4397
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Country | US
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Telephone | 702-289-4157
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Fax | 702-289-4795
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Provider Business Mailing Address
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Address Line | 2300 W SAHARA AVE STE 800
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City | LAS VEGAS
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State | NV
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Zip | 89102-4397
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Country | US
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Telephone | 702-289-4157
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Fax | 702-289-4795
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Authorized Official
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Title or Position | OWNER / AUTHORIZED OFFICIAL
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Name | BRENDA KANYUA KIMATH
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Credential | PMHNP-BC
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Telephone | 702-289-4157
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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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