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General NPI Number Information
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NPI Number | 1962306555
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE MINDS LLC
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 1501 NE MIAMI GARDENS DR APT 243
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City | MIAMI
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State | FL
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Zip | 33179-4884
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Country | US
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Telephone | 918-853-3067
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Fax |
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Provider Business Mailing Address
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Address Line | 1501 NE MIAMI GARDENS DR APT 243
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City | MIAMI
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State | FL
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Zip | 33179-4884
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Country | US
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Telephone | 918-853-3067
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Fax |
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Authorized Official
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Title or Position | CEO/MANAGER
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Name | DR. ABRAHAM ASHTON
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Credential | DNP
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Telephone | 918-853-3067
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State | NULL
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