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General NPI Number Information
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NPI Number | 1639026594
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Entity Type | Organization
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Legal Business Name | CLEARMIND CLINIC, INC.
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 1700 N WATERMAN AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-5115
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Country | US
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Telephone | 510-329-0837
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 226
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City | ETIWANDA
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State | CA
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Zip | 91739-0226
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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 | CEO
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Name | RAMANPAL PUNIA
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Credential | PMHNP
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Telephone | 510-303-0817
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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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