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General NPI Number Information
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NPI Number | 1942180161
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Entity Type | Organization
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Legal Business Name | NVZN MIND BODY LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 105 M ST NE
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City | AUBURN
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State | WA
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Zip | 98002
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Country | US
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Telephone | 253-676-9181
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Fax |
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Provider Business Mailing Address
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Address Line | 17404 MERIDIAN E STE F-1041
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City | PUYALLUP
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State | WA
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Zip | 98375-6234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELLE PARKER
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Credential |
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Telephone | 253-466-8434
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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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