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General NPI Number Information
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NPI Number | 1902530553
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Entity Type | Organization
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Legal Business Name | MY CLEAR MIND CLINIC
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 13499 BISCAYNE BLVD APT 1009
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2028
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Country | US
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Telephone | 215-375-4766
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Fax | 786-269-0699
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Provider Business Mailing Address
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Address Line | 13499 BISCAYNE BLVD APT 1009
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City | NORTH MIAMI
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State | FL
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Zip | 33181-2028
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Country | US
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Telephone | 215-375-4766
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Fax | 786-269-0699
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. WHINNEY MATHEW PHILIP
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Credential | APRN
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Telephone | 215-375-4766
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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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