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General NPI Number Information
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NPI Number | 1699543785
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Entity Type | Organization
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Legal Business Name | MINDSET PSYCHIATRIC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 12/18/2023
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Provider Practice Location Address
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Address Line | 7222 COMMERCE CENTER DR STE 220
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2631
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Country | US
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Telephone | 145-852-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 1086 BECKTON HTS APT 305
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6580
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Country | US
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Telephone | 214-585-2090
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | ERIN M BAYLES
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Credential |
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Telephone | 478-290-3122
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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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