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General NPI Number Information
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NPI Number | 1902581564
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Entity Type | Organization
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Legal Business Name | A MIND RENEWED
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Dates
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Enumeration Date | 06/20/2023
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1172 W GALBRAITH RD STE 205B
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City | CINCINNATI
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State | OH
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Zip | 45231-5644
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Country | US
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Telephone | 513-327-5225
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Fax | 513-586-4882
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Provider Business Mailing Address
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Address Line | 1172 W GALBRAITH RD STE 205B
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City | CINCINNATI
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State | OH
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Zip | 45231-5644
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Country | US
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Telephone | 513-327-5225
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Fax | 513-586-4882
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LASHONDA MCADAMS
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Credential | NP
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Telephone | 513-327-5225
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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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