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General NPI Number Information
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NPI Number | 1003003914
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Entity Type | Individual
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Provider Name | KENIA MARI RIVERA LLUVERAS PSY.D
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Gender | Female
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | CARR. 21 S3 LAS LOMAS BO. MONACILLOS OFFICE # 2
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City | SAN JUAN
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-598-2415
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 9 NUM. I 13 VISTA BELLA
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City | BAYAMON
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State | PUERTO RICO
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Zip | 00956 4838
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Country | UM
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Telephone | 787-598-2415
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2792
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License Number State | PR
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