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General NPI Number Information
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NPI Number | 1114809696
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Entity Type | Individual
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Provider Name | LESLEY ROLON RIOS
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Gender | Female
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | CARR. 2 KM 92.3 CENTRO DE TERAPIAS YABISI, MARGINAL INT.
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-597-5457
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 626
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City | HATILLO
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State | PR
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Zip | 00659-0626
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Country | US
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Telephone | 787-615-3023
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4333
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License Number State | PR
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