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General NPI Number Information
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NPI Number | 1851115158
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Entity Type | Organization
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Legal Business Name | A MINDFUL SPACE PSYCHOTHERAPY, LLC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 1400 NW 41ST CT
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City | OAKLAND PARK
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State | FL
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Zip | 33309-4520
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Country | US
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Telephone | 954-574-2013
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 NW 41ST CT
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City | OAKLAND PARK
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State | FL
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Zip | 33309-4520
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Country | US
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Telephone | 954-574-2013
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JERROD JOHNSON
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Credential |
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Telephone | 954-574-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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