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General NPI Number Information
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NPI Number | 1265970420
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY WELLNESS GROUP
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 103 AVE DE DIEGO APT 1902 SUR
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City | SAN JUAN
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State | PR
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Zip | 00911-3501
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Country | US
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Telephone | 787-447-4978
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Fax |
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Provider Business Mailing Address
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Address Line | 103 AVE DE DIEGO APT 1902 SUR
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City | SAN JUAN
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State | PR
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Zip | 00911-3501
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Country | US
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Telephone | 787-447-4978
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANGEL M NARVAEZ MORELL
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Credential | MD
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Telephone | 787-447-4978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 13968
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License Number State | PR
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