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General NPI Number Information
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NPI Number | 1083377915
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Entity Type | Individual
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Provider Name | MS. GEORGINA R MENA
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Gender | Female
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 111 POMONA DR STE G
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City | GREENSBORO
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State | NC
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Zip | 27407-1636
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Country | US
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Telephone | 336-855-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 CRANBROOK WAY
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City | ASHEBORO
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State | NC
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Zip | 27205-2334
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Country | US
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Telephone | 336-523-4910
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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