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General NPI Number Information
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NPI Number | 1144293705
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Entity Type | Organization
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Legal Business Name | SAN JUAN CAPESTRANO HOSPITAL INC.
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 08/26/2023
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Provider Practice Location Address
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Address Line | CARRETERA ESTATAL 877 KM 1.6 CAMINO LAS LOMAS
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City | RIO PIEDRAS
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-760-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VP & SECRETARY
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Name | BRIAN P. FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 55
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License Number State | PR
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