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General NPI Number Information
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NPI Number | 1972496107
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Entity Type | Organization
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Legal Business Name | MINDFUL SYNERGY PSYCHIATRY
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 16220 N SCOTTSDALE RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-1781
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Country | US
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Telephone | 480-750-7443
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Fax |
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Provider Business Mailing Address
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Address Line | 36800 OAK MEADOWS PL
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City | MURRIETA
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State | CA
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Zip | 92562-4386
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Country | US
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Telephone | 951-525-2734
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | YANIQUE DIAS
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Credential | NP
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Telephone | 951-525-2734
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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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