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General NPI Number Information
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NPI Number | 1023229945
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Entity Type | Individual
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Provider Name | OLGA MARIA RODRIGUEZ PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 19 LUCERO EL VERDE CAGUAS PR
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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 | 787-635-5830
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Fax |
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Provider Business Mailing Address
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Address Line | F-9 ROBLES VILLA TURABO CAGUAS PR 00725 PO BOX 1600 SUITE 714
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City | CIDRA
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State | PR
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Zip | 00739
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Country | US
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Telephone | 787-635-5830
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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 | 1098
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License Number State | PR
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