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General NPI Number Information
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NPI Number | 1851228712
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Entity Type | Organization
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Legal Business Name | MIND SLEEP AND LONGEVITY INSTITUTE PLLC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 10643 N FRANK LLOYD WRIGHT BLVD STE 202
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-2720
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Country | US
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Telephone | 833-944-5877
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Fax |
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Provider Business Mailing Address
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Address Line | 7511 COVINGTON HOLLOW LN
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City | FORT WAYNE
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State | IN
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Zip | 46804-6152
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Country | US
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Telephone | 301-503-7758
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. RAM VERMA
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Credential | MD
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Telephone | 301-503-7758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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