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General NPI Number Information
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NPI Number | 1982403804
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Entity Type | Organization
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Legal Business Name | MINDFUL VISIONS
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 27851 BRADLEY RD STE 130L
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City | MENIFEE
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State | CA
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Zip | 92586-2282
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Country | US
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Telephone | 760-702-1096
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Fax | 951-430-4729
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Provider Business Mailing Address
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Address Line | 27851 BRADLEY RD STE 130L
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City | MENIFEE
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State | CA
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Zip | 92586-2282
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Country | US
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Telephone | 760-702-1096
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Fax | 951-430-4729
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | VIVIANA BUNTING
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Credential | LMFT
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Telephone | 760-702-1096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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