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General NPI Number Information
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NPI Number | 1912895772
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Entity Type | Organization
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Legal Business Name | VIDAL HEALING MINDS CORP
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Dates
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Enumeration Date | 06/27/2025
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 5282 GOLDEN GATE PKWY STE C
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City | NAPLES
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State | FL
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Zip | 34116-7649
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Country | US
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Telephone | 239-467-6051
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Fax | 239-467-6055
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Provider Business Mailing Address
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Address Line | 5282 GOLDEN GATE PKWY STE C
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City | NAPLES
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State | FL
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Zip | 34116-7649
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Country | US
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Telephone | 239-467-6051
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Fax | 239-467-6055
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Authorized Official
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Title or Position | PSYCHIATRY
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Name | MELVA ROSA REVE URGELLES
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Credential | MD
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Telephone | 239-423-0272
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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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