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General NPI Number Information
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NPI Number | 1497561369
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Entity Type | Individual
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Provider Name | MISS GENESIS RAZO
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 12/05/2024
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Provider Practice Location Address
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Address Line | 7201 E 31ST PL, YUMA, AZ 85365
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-750-9691
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Fax |
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Provider Business Mailing Address
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Address Line | 7201 E 31ST PL, YUMA, AZ 85365
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-336-5660
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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