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General NPI Number Information
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NPI Number | 1538702964
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Entity Type | Organization
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Legal Business Name | GEROPSYCH HEALTH, INC.
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 151 ORCHARDVIEW RD
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City | SEVEN HILLS
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State | OH
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Zip | 44131-5836
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Country | US
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Telephone | 855-437-6779
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Fax |
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Provider Business Mailing Address
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Address Line | 151 ORCHARDVIEW RD
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City | SEVEN HILLS
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State | OH
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Zip | 44131-5836
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Country | US
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Telephone | 855-437-6779
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMY M GLANDER
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Credential |
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Telephone | 855-437-6779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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