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General NPI Number Information
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NPI Number | 1720846215
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Entity Type | Organization
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Legal Business Name | MENDING MENTAL HEALTH
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Dates
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Enumeration Date | 03/08/2024
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 7430 WENTWORTH AVE
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City | RICHFIELD
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State | MN
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Zip | 55423-4133
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Country | US
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Telephone | 612-488-0040
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Fax | 833-973-4055
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Provider Business Mailing Address
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Address Line | 7430 WENTWORTH AVE
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City | RICHFIELD
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State | MN
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Zip | 55423-4133
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Country | US
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Telephone | 612-488-0040
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Fax | 833-973-4055
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | LEAH CLAUSEN
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Credential |
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Telephone | 612-488-0040
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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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Taxonomy #2
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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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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