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General NPI Number Information
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NPI Number | 1164093811
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Entity Type | Individual
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Provider Name | YAJAIRA FELIX PSYM.A.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2021
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Last Update Date | 07/05/2021
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Provider Practice Location Address
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Address Line | 495A CALLE 27
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City | SAN JUAN
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State | PR
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Zip | 00924-1217
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Country | US
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Telephone | 787-754-5087
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30056
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City | SAN JUAN
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State | PR
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Zip | 00929-1056
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Country | US
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Telephone | 787-461-6955
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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 | 6773
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License Number State | PR
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