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General NPI Number Information
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NPI Number | 1881049294
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Entity Type | Organization
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Legal Business Name | GENESIS CLINICAL HEALTH GROUP, INC
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 225 CALLE CARIBE 225 CARIBE ST
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City | ARROYO
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State | PR
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Zip | 00714-3056
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Country | US
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Telephone | 787-989-2447
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Fax |
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Provider Business Mailing Address
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Address Line | 225 CALLE CARIBE URB ARROYO DEL MAR
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City | ARROYO
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State | PR
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Zip | 00714-3056
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Country | US
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Telephone | 787-989-2447
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | MRS. MARISELA TORRES
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Credential |
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Telephone | 787-989-2447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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