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General NPI Number Information
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NPI Number | 1689369472
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Entity Type | Organization
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Legal Business Name | MINDFUL, INC.
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Dates
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Enumeration Date | 04/07/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 841 MOHAWK ST STE 100
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1500
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Country | US
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Telephone | 661-487-1778
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Fax | 661-215-5919
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Provider Business Mailing Address
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Address Line | 5001 E COMMERCENTER DR SUITE 255
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City | BAKERSFIELD
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State | CA
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Zip | 93309
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Country | US
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Telephone | 661-487-1778
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Fax | 661-215-5919
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBYN DENISE GARCIA
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Credential | MA, LMFT
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Telephone | 661-487-1778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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