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General NPI Number Information
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NPI Number | 1013147164
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Entity Type | Individual
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Provider Name | VANELSI GARCIA ORTIZ MA
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Gender | Female
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | URB. TURABO GARDENS CALLE 7-I-6
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 939-218-6299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 71474
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City | SAN JUAN
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State | PR
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Zip | 00936-8574
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Country | US
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Telephone | 939-218-6299
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3230
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License Number State | PR
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