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General NPI Number Information
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NPI Number | 1407989312
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Entity Type | Organization
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Legal Business Name | HEALING INTEGRATIVE ALLIANCE, PSC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 18 CALLE MARIO BRASCHI
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City | COAMO
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State | PR
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Zip | 00769-2515
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Country | US
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Telephone | 787-359-1689
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 685
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City | NARANJITO
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State | PR
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Zip | 00719-0685
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Country | US
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Telephone | 787-359-1689
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Fax |
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Authorized Official
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Title or Position | PRESIDENTE
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Name | NELSON FIGUEROA MORALES
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Credential | PSYD
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Telephone | 787-359-1689
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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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