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General NPI Number Information
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NPI Number | 1194844027
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Entity Type | Individual
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Provider Name | MIGDALIA MEJIA COSTA PSY D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | SERGIO CUEVAS BUSTAMANTE STREET # 555 DOMENECH CORNER
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-758-8383
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Fax |
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Provider Business Mailing Address
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Address Line | D STREET #B23 EXT. ALAMEDA
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-383-6686
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2763
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License Number State | PR
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