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General NPI Number Information
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NPI Number | 1871388009
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Entity Type | Organization
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Legal Business Name | IN MIND PSYCHIATRY, LLC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 6030 DAYBREAK CIR STE A150-355
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1642
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Country | US
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Telephone | 667-868-0348
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Fax |
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Provider Business Mailing Address
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Address Line | 6030 DAYBREAK CIR STE A150-355
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1642
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Country | US
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Telephone | 667-868-0348
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. ESTEBAN TOLEDO-CARRION
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Credential | MD
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Telephone | 667-868-0348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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