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General NPI Number Information
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NPI Number | 1194646000
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Entity Type | Individual
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Provider Name | SAMANTHA MALDONADO LCDA.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | MARGINAL CARR. #2, BLOQUE 51 #62, URB. SANTA ROSA
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-778-2446
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Fax |
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Provider Business Mailing Address
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Address Line | CA18 CALLE AREYTO
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City | CAGUAS
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State | PR
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Zip | 00725-1458
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 9068
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License Number State | PR
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