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General NPI Number Information
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NPI Number | 1831951169
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Entity Type | Organization
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Legal Business Name | GENESIS PSYCHIATRY CONSULTANTS LLC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 01/23/2024
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Provider Practice Location Address
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Address Line | 4309 SILENT BROOK CT
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City | FORT WORTH
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State | TX
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Zip | 76244
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Country | US
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Telephone | 205-566-4126
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Fax |
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Provider Business Mailing Address
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Address Line | 8553 N BEACH ST
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City | FORT WORTH
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State | TX
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Zip | 76244-4919
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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 | OWNER
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Name | MARY NGANGA
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Credential | PMHNP
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Telephone | 205-566-4126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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