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General NPI Number Information
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NPI Number | 1467944553
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Entity Type | Organization
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Legal Business Name | HEALTH ANALYTICS CONSULTING GROUP CORP.
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 1007 AVE MUNOZ RIVERA SUITE 805 EDIF DARLINGTON
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-374-1604
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Fax |
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Provider Business Mailing Address
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Address Line | 1353 AVE LUIS VIGOREAUX # PMB305
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City | GUAYNABO
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State | PR
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Zip | 00966-2715
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Country | US
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Telephone | 787-374-1604
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Fax |
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Authorized Official
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Title or Position | ASISTENTE ADMINISTRATIVA
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Name | IVELISSE CRUZ
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Credential |
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Telephone | 787-374-1604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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