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General NPI Number Information
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NPI Number | 1629740220
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Entity Type | Organization
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Legal Business Name | CULTIVATING MIND LLC.
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 10/01/2021
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Provider Practice Location Address
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Address Line | 3336 HARRISON AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-8500
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Country | US
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Telephone | 513-916-8080
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Fax |
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Provider Business Mailing Address
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Address Line | 3336 HARRISON AVE
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City | CINCINNATI
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State | OH
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Zip | 45211-8500
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Country | US
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Telephone | 513-916-8080
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. TIFFANY WATSON
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Credential | NP
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Telephone | 513-295-1529
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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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