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General NPI Number Information
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NPI Number | 1104054485
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Entity Type | Individual
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Provider Name | ROSAEL ZENO SANTI PSY.D
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Gender | Female
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | #120 AVE. LAS CUMBRES GUAYNABO MEDICAL MALL SUITE 201
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City | GUAYNABO
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State | PR
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Zip | 00969-5635
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Country | US
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Telephone | 787-249-4121
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Fax | 787-880-2756
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Provider Business Mailing Address
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Address Line | P.O. BOX 9117
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City | BAYAMON
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State | PR
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Zip | 00960-9117
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Country | US
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Telephone | 787-960-0654
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Fax | 787-880-2756
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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 | 3414
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License Number State | PR
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