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General NPI Number Information
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NPI Number | 1851130462
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Entity Type | Organization
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Legal Business Name | MINDFUL APPROACH LLC.
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 101 HUDSON ST STE 2131
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3915
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Country | US
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Telephone | 201-981-4725
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Fax |
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Provider Business Mailing Address
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Address Line | 627 BROAD ST
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City | CLIFTON
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State | NJ
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Zip | 07013-1649
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Country | US
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Telephone | 201-981-4725
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA GARCIA-ROMAN
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Credential | PMHNP
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Telephone | 201-981-4725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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