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General NPI Number Information
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NPI Number | 1649177643
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Entity Type | Organization
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Legal Business Name | KINDMIND PEDIATRIC EVALUATIONS PLLC
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Dates
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Enumeration Date | 10/22/2026
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Last Update Date | 10/22/2026
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Provider Practice Location Address
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Address Line | 5101 OLD PLANTATION CIR
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City | WINSTON SALEM
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State | NC
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Zip | 27104-5394
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Country | US
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Telephone | 980-549-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 OLD PLANTATION CIR
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City | WINSTON SALEM
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State | NC
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Zip | 27104-5394
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Country | US
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Telephone | 980-549-1422
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOLOGIST
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Name | EMILY RAYE SAPP
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Credential | LPA, LBA, BCBA, MA
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Telephone | 980-549-1422
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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 |
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License Number State |
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