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General NPI Number Information
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NPI Number | 1700417227
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Entity Type | Organization
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Legal Business Name | ONE OF A KIND MIND LLC
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Dates
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Enumeration Date | 02/03/2020
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Last Update Date | 02/03/2020
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Provider Practice Location Address
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Address Line | 5655 BRYANT ST STE 201
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City | PITTSBURGH
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State | PA
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Zip | 15206-1511
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Country | US
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Telephone | 833-663-6256
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Fax |
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Provider Business Mailing Address
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Address Line | 117 LEROY STREET
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City | PITTSBURGH
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State | PA
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Zip | 15239
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Country | US
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Telephone | 412-500-2430
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | AYSIA HUNTER
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Credential | LPC
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Telephone | 412-500-2430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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