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General NPI Number Information
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NPI Number | 1205931888
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Entity Type | Individual
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Provider Name | JOAQUIN LABOY-OLIVIERI
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 425NG AVE LUIS MUNOZ MARIN
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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 | 787-705-3949
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Fax |
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Provider Business Mailing Address
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Address Line | HCDS DEL MONTE 4028 PASEO LA CATALANA
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City | COTO LAUREL
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-298-8648
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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 | 2554
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License Number State | PR
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