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General NPI Number Information
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NPI Number | 1740034255
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Entity Type | Organization
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Legal Business Name | STRATEGIC MIND TECHNOLOGIES INC.
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 4441 COLLINS AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3227
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Country | US
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Telephone | 786-632-9536
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Fax |
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Provider Business Mailing Address
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Address Line | 4441 COLLINS AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3227
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Country | US
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Telephone | 786-632-9536
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TYLER STOUT
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Credential |
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Telephone | 337-315-7927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number |
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License Number State |
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