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General NPI Number Information
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NPI Number | 1972282952
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Entity Type | Organization
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Legal Business Name | BODY AND MIND HEALTHCARE PLLC
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 135 S MAIN ST STE B
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City | BROWNSVILLE
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State | KY
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Zip | 42210-7233
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Country | US
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Telephone | 270-246-0319
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 373
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City | BEE SPRING
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State | KY
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Zip | 42207-0373
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Country | US
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Telephone | 270-246-0319
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. STEPHANIE MICHELE SALINGS
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Credential | AGPCNP
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Telephone | 270-246-0319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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