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General NPI Number Information
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NPI Number | 1730961160
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Entity Type | Organization
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Legal Business Name | BODY AND MIND HEALTH PARTNERS
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Dates
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Enumeration Date | 10/19/2023
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 701 S CARSON ST STE 200
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City | CARSON CITY
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State | NV
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Zip | 89701-5239
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Country | US
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Telephone | 830-285-8882
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Fax |
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Provider Business Mailing Address
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Address Line | 12703 SPECTRUM DR STE 102
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3444
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Country | US
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Telephone | 830-285-8882
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Fax | 830-215-4711
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CHRISTINE GOOD
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Credential |
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Telephone | 830-343-0669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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