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General NPI Number Information
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NPI Number | 1356500979
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Entity Type | Organization
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Legal Business Name | INSPIRA PSYCHIATRIC SERVICES PSC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 184 CALLE GUADALUPE
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City | PONCE
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State | PR
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Zip | 00730-3561
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Country | US
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Telephone | 787-704-0705
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Fax | 787-744-7444
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Provider Business Mailing Address
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Address Line | PO BOX 9809
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City | CAGUAS
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State | PR
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Zip | 00726-9809
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Country | US
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Telephone | 787-704-0705
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Fax | 787-744-7444
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALBERTO VARELA
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Credential | MD
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Telephone | 787-704-0705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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