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General NPI Number Information
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NPI Number | 1073302584
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Entity Type | Individual
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Provider Name | JESSICA TORO ROSARIO PHD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 7400 MERTON MINTER ST
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4404
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Country | US
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Telephone | 361-243-9946
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Fax |
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Provider Business Mailing Address
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Address Line | 7727 POTRANCO RD APT 5301
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City | SAN ANTONIO
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State | TX
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Zip | 78251-2005
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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 | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 40649
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License Number State | TX
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