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General NPI Number Information
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NPI Number | 1447613609
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Entity Type | Organization
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Legal Business Name | FIRST HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | CENTRO COMERCIAL HUMACAO EDIF 10A LOCAL 3 Y 4
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City | HUMACAO
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State | PR
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Zip | 00792
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Country | US
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Telephone | 787-248-1302
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Fax |
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Provider Business Mailing Address
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Address Line | 17 CALLE SUITE 520
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City | GAUYNABO
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State | PR
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Zip | 00968-1750
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Country | US
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Telephone | 787-622-9797
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Fax | 844-226-1440
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Authorized Official
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Title or Position | FHC GOVERNMENT HEALTH PLAN DIRECTOR
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Name | MRS. HUARALI REYES AVILES
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Credential | LCDA.
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Telephone | 787-622-9797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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