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General NPI Number Information
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NPI Number | 1063335750
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Entity Type | Individual
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Provider Name | JESICA LUMARY SEDA MONTALVO MS
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Gender | Female
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | PARQUE INDUSTRIAL DEL OESTE CALLE ROCHELAISE 29
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City | MAYAGUEZ
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State | PR
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Zip | 00682
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Country | US
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Telephone | 787-904-9131
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Fax |
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Provider Business Mailing Address
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Address Line | C2 E7 URB MARGARITA
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City | CABO ROJO
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State | PR
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Zip | 00623
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 6912
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License Number State | PR
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