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General NPI Number Information
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NPI Number | 1205133766
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Entity Type | Individual
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Provider Name | ZAIDA N FERNANDEZ PSICOLOGA
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Gender | Female
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Dates
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Enumeration Date | 02/18/2011
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Last Update Date | 02/18/2011
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Provider Practice Location Address
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Address Line | COND LAGO VISTA II # 210 200 BOULEVARD MONROIG
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City | TOA BAJA
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State | PR
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Zip | 00949-4434
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Country | US
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Telephone | 787-579-4850
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Fax |
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Provider Business Mailing Address
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Address Line | 200 BOULEVARD MONROIG COND. LAGO VISTA II - BUZON 210
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City | TOA BAJA
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State | PR
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Zip | 00949-4425
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Country | US
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Telephone | 787-579-4850
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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 | 3873
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3873
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License Number State | PR
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