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General NPI Number Information
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NPI Number | 1033061114
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Entity Type | Individual
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Provider Name | JULIAN ALBERTO BURGOS RIVERA
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Gender | Male
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | CARR. 819 KM HM 1 BO BUCARABONES
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 939-260-4882
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 661
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City | VEGA ALTA
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State | PR
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Zip | 00692-0661
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Country | US
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Telephone |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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