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General NPI Number Information
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NPI Number | 1932997640
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Entity Type | Organization
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Legal Business Name | BEYOND MIND NP IN PSYCHIATRY AND FAMILY HEALTH PC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 230 HILTON AVE STE 5
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8116
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Country | US
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Telephone | 718-406-6231
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Fax |
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Provider Business Mailing Address
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Address Line | 75 OAKLEY AVE
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City | ELMONT
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State | NY
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Zip | 11003-2531
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Country | US
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Telephone | 718-406-6231
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MICHELLE INGRID REID-THOMAS
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Credential |
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Telephone | 718-406-6231
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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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