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General NPI Number Information
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NPI Number | 1770013195
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Entity Type | Organization
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Legal Business Name | MINDFULBASICS INC
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 546 E FM 2410 RD STE B
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-5692
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Country | US
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Telephone | 254-239-0255
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Fax |
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Provider Business Mailing Address
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Address Line | 415 E FM 2410 RD UNIT 2903
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-2938
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Country | US
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Telephone | 254-239-0255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GINGER BALDWIN
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Credential | LMT
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Telephone | 254-239-0255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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