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General NPI Number Information
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NPI Number | 1659254621
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Entity Type | Organization
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Legal Business Name | JUST MIND PSYCHIATRY LLC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 712 H ST NE STE 1379
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City | WASHINGTON
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State | DC
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Zip | 20002-3627
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Country | US
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Telephone | 571-275-5935
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Fax |
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Provider Business Mailing Address
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Address Line | 712 H ST NE STE 1379
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City | WASHINGTON
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State | DC
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Zip | 20002-3627
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Country | US
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Telephone | 571-275-5935
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Fax | 877-565-1607
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Authorized Official
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Title or Position | OWNER
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Name | IVY DZIFA DZIVENU
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Credential |
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Telephone | 571-275-5935
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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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