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General NPI Number Information
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NPI Number | 1891536439
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Entity Type | Organization
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Legal Business Name | MINDPATH SOLUTIONS INC.
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 601 WEBSTER ST
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City | WILDWOOD
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State | FL
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Zip | 34785-3828
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Country | US
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Telephone | 352-322-2169
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Fax |
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Provider Business Mailing Address
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Address Line | 3180 HWY 27/441
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City | FRUITLAND PARK
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State | FL
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Zip | 34731-4471
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Country | US
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Telephone | 352-409-6272
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | MRS. KRISTIE D MURDOCK
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Credential | APRN
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Telephone | 352-409-6272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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