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General NPI Number Information
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NPI Number | 1568345379
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Entity Type | Organization
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Legal Business Name | AEROMIND SERVICES
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 303 N STADIUM BLVD FL 2
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City | COLUMBIA
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State | MO
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Zip | 65203-1493
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Country | US
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Telephone | 573-577-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 115 CONLEY RD STE 1008
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City | COLUMBIA
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State | MO
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Zip | 65201-6465
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Country | US
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Telephone | 573-577-3415
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | IBRAHIM M ABUMUNYE
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Credential |
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Telephone | 612-481-0934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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