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General NPI Number Information
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NPI Number | 1003092891
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Entity Type | Individual
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Provider Name | SHEIKA MARIELIS MORALES ORTIZ PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 59 CALLE MUNOZ MARIN
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City | HUMACAO
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State | PR
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Zip | 00791-3646
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Country | US
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Telephone | 939-717-7317
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 834
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City | JUNCOS
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State | PR
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Zip | 00777-0834
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Country | US
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Telephone | 787-734-1430
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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 | 2880
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License Number State | PR
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