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General NPI Number Information
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NPI Number | 1205043577
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Entity Type | Individual
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Provider Name | CARMEN ANA ROMAN TORRES PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR. #14, BO. MACHUELO CENTRO DE METADONA, ASSMCA
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City | PONCE
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State | PR
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Zip | 00731
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Country | US
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Telephone | 787-840-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 4021 CALLE CARLOS CARTAGENA COND. PLAZA DEL SUR APT. 8B
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City | PONCE
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State | PR
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Zip | 00717-0330
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Country | US
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Telephone | 787-234-1846
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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 | 263
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License Number State | PR
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