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General NPI Number Information
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NPI Number | 1801745385
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Entity Type | Organization
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Legal Business Name | MINDFULLY FIT WELLNESS AND PSYCHIATRY SERVICES PLLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 145 BENT WATER LOOP
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City | CHICO
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State | CA
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Zip | 95973
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Country | US
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Telephone | 385-446-0018
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Fax | 385-503-3782
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Provider Business Mailing Address
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Address Line | 929 W SUNSET BLVD STE 21
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City | ST GEORGE
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State | UT
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Zip | 84770-4867
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Country | US
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Telephone | 385-446-0018
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Fax | 385-503-3782
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Authorized Official
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Title or Position | CEO
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Name | IESHA IWOBI
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Credential | PA
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Telephone | 385-446-0018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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