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General NPI Number Information
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NPI Number | 1972483634
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Entity Type | Organization
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Legal Business Name | MINDSCIENCE MEDICAL GROUP PLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 3417 N 32ND ST
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City | PHOENIX
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State | AZ
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Zip | 85018-5606
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Country | US
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Telephone | 602-368-3600
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Fax | 602-368-3235
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Provider Business Mailing Address
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Address Line | 3417 N 32ND ST
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City | PHOENIX
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State | AZ
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Zip | 85018-5606
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Country | US
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Telephone | 602-368-3600
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Fax | 602-368-3235
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SARI LORD
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Credential |
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Telephone | 602-368-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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