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General NPI Number Information
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NPI Number | 1063329811
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Entity Type | Individual
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Provider Name | STEPHANY COLLAZO OTERO
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | AVE. CARLOS J. ANDALUE IL17, ROYAL PALM,
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 939-425-6194
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2282
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City | VEGA BAJA
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State | PR
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Zip | 00694-2282
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Country | US
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Telephone | 939-223-9163
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Fax | 939-223-9163
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 7511
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License Number State | PR
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