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NPI 1093075111

NPI 1093075111 : DAIANNA MARLETTE ADAMS ZAMBRANA PSY.D. : PONCE, PR

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General NPI Number Information
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    NPI Number           |    1093075111
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    Entity Type          |    Individual 
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    Provider Name        |    DAIANNA MARLETTE ADAMS ZAMBRANA PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2012
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    Last Update Date     |    07/06/2022
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Provider Practice Location Address
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    Address Line         |    URB. INDUSTRIAL REPARADA 2 396 DR. LUIS F. SALA
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00716
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    Country              |    US
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    Telephone            |    787-812-2525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    409 PASEO DEL PRINCIPE 
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00716-2854
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    Country              |    US
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    Telephone            |    939-630-0645
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    Fax                  |    787-844-2509
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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       |    4062
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    License Number State |    PR
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