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General NPI Number Information
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NPI Number | 1659230241
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Entity Type | Organization
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Legal Business Name | MIND BODY SOUL PSYCHIATRY PLLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1111 E WESTVIEW CT STE C
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City | SPOKANE
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State | WA
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Zip | 99218-1376
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Country | US
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Telephone | 509-594-6771
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Fax | 949-695-4395
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Provider Business Mailing Address
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Address Line | 1111 E WESTVIEW CT STE C
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City | SPOKANE
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State | WA
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Zip | 99218-1376
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Country | US
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Telephone | 509-594-6771
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Fax | 949-695-4395
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Authorized Official
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Title or Position | OWNER
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Name | KRISTY BROOTEN
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Credential | MSN, ARNP, PMHNP-BC
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Telephone | 509-594-6771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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