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General NPI Number Information
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NPI Number | 1134491970
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Entity Type | Individual
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Provider Name | DR. CALEFF GARCIA
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Gender | Female
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 472 AVE TITO CASTRO EDIFIO MARVESA
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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 | 787-376-9478
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 6776
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City | ADJUNTAS
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State | PR
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Zip | 00601-9635
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 4119
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4119
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 4119
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License Number State | PR
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