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General NPI Number Information
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NPI Number | 1508659681
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Entity Type | Organization
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Legal Business Name | GENESIS TMS OPERATING, LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 528 14TH ST
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City | MODESTO
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State | CA
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Zip | 95354-2503
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Country | US
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Telephone | 209-222-1387
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Fax |
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Provider Business Mailing Address
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Address Line | 137 S CENTER ST
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City | TURLOCK
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State | CA
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Zip | 95380-4507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF DIRECTOR
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Name | LINDA MIKHA
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Credential |
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Telephone | 209-604-5969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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