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General NPI Number Information
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NPI Number | 1033529193
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Entity Type | Individual
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Provider Name | VALERIE STIPES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/29/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 201A CALLE TETUAN #8
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City | SAN JUAN
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State | PR
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Zip | 00901-1816
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Country | US
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Telephone | 787-552-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 1352 CALLE LUCHETTI #PH1
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City | SAN JUAN
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State | PR
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Zip | 00907-2046
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Country | US
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Telephone | 787-565-9196
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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 | 5601
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License Number State | PR
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