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General NPI Number Information
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NPI Number | 1780375964
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Entity Type | Organization
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Legal Business Name | HEALING MIND TMS CLINIC INC
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 17822 BEACH BLVD STE 200
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7190
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Country | US
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Telephone | 323-282-5838
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 VINE ST STE 357
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City | LOS ANGELES
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State | CA
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Zip | 90028-5250
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Country | US
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Telephone | 310-498-0004
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Fax |
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Authorized Official
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Title or Position | DIR OF TMS OPERATIONS
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Name | PETER LANG
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Credential |
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Telephone | 310-343-8684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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