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General NPI Number Information
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NPI Number | 1780475418
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Entity Type | Organization
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Legal Business Name | HEALING MINDS THERAPY ASSOCIATES
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1361 S WINCHESTER BLVD STE 111
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City | SAN JOSE
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State | CA
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Zip | 95128-4328
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Country | US
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Telephone | 650-799-3623
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Fax | 855-940-4042
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Provider Business Mailing Address
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Address Line | 1361 S WINCHESTER BLVD STE 111
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City | SAN JOSE
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State | CA
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Zip | 95128-4328
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Country | US
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Telephone | 650-799-3623
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Fax | 559-404-0428
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOLLY R HOPKINS SHAH
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Credential | PSYD
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Telephone | 650-799-3623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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