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General NPI Number Information
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NPI Number | 1902697584
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Entity Type | Organization
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Legal Business Name | A BEAUTIFUL MIND BEHAVIORAL HEALTH NURSING PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/14/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 200 N VERMONT AVE UNIT NO340
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City | LOS ANGELES
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State | CA
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Zip | 90004-4899
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Country | US
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Telephone | 213-840-7247
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N VERMONT AVE UNIT NO340
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City | LOS ANGELES
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State | CA
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Zip | 90004-4899
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Country | US
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Telephone | 213-840-7247
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS FARIDAH MUMIN
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Credential | NP
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Telephone | 213-840-7247
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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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