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General NPI Number Information
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NPI Number | 1598527053
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Entity Type | Organization
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Legal Business Name | MIND ALIGNMENT INTEGRATIVE PSYCHIATRY LLC
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 13980 N 67TH AVE STE 1
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City | GLENDALE
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State | AZ
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Zip | 85306-3715
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Country | US
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Telephone | 602-834-7943
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Fax | 833-740-6052
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | YUMA
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State | AZ
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Zip | 85366-2314
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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 | PMHNP
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Name | BOLUTIFE AKINREMI
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Credential |
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Telephone | 602-834-7943
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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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