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General NPI Number Information
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NPI Number | 1568898336
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Entity Type | Organization
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Legal Business Name | POSITIVE MIND PSYCHIATRY
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 4100 S LINDSAY RD, STE 124 BLD #6
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City | GILBERT
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State | AZ
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Zip | 85297
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Country | US
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Telephone | 917-968-8695
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Fax | 480-361-1922
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Provider Business Mailing Address
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Address Line | 4100 S LINDSAY RD, STE 124 BLD #6
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City | GILBERT
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State | AZ
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Zip | 85297
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Country | US
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Telephone | 917-968-8695
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Fax | 480-361-1922
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Authorized Official
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Title or Position | MD PSYCHIATRIST
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Name | DR. FARIDA ZAKIR RASSIWALA
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Credential | MD
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Telephone | 480-361-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 44462
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License Number State | AZ
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Taxonomy #2
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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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