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General NPI Number Information
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NPI Number | 1194445296
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Entity Type | Individual
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Provider Name | JULIANA R MILLAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 2490 AVE. ALBIZU CAMPOS SUITE #10
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City | RINCON
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State | PR
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Zip | 00677-0067
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Country | US
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Telephone | 787-592-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CARR 115, UNIT 758, UNIT 758 UNIT 758
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City | RINCON
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State | PR
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Zip | 00677
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Country | US
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Telephone | 787-240-4244
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7106
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License Number State | PR
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