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General NPI Number Information
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NPI Number | 1609325521
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Entity Type | Organization
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Legal Business Name | HEALTHY MINDS PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 10/04/2016
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Last Update Date | 12/27/2016
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Provider Practice Location Address
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Address Line | 2000 S DAIRY ASHFORD RD STE 340
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City | HOUSTON
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State | TX
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Zip | 77077-5700
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Country | US
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Telephone | 713-396-0106
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Fax | 832-318-6278
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Provider Business Mailing Address
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Address Line | 2000 DAIRY ASHFORD STE 340
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City | HOUSTON
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State | TX
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Zip | 77077
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Country | US
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Telephone | 713-396-0106
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Fax | 832-318-6278
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Authorized Official
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Title or Position | PSYCHIATRIST
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Name | DR. FRIEDA ABOUL-FOTOUH
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Credential | MD
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Telephone | 713-396-0106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | P9496
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License Number State | TX
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