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General NPI Number Information
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NPI Number | 1053038695
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Entity Type | Organization
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Legal Business Name | INTEGRANDO CENTRO EVALUATIVO Y TERAPEUTICO
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | E9 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725-3331
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Country | US
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Telephone | 787-653-7310
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Fax |
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Provider Business Mailing Address
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Address Line | E9 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725-3331
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Country | US
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Telephone | 787-653-7310
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SONIA GRAJALES
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Credential |
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Telephone | 787-653-7310
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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 |
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License Number State |
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