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General NPI Number Information
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NPI Number | 1215030382
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Entity Type | Individual
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Provider Name | NELSON BARRIOS FELICIANO PSICOLOGO
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 23-7 AVE ROBERTO CLEMENTE
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City | CAROLINA
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State | PR
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Zip | 00985-5413
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Country | US
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Telephone | 787-364-9688
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Fax | 939-697-6003
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Provider Business Mailing Address
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Address Line | 1879 CALLE FERMIN ZEDO URB FAIR VIEW
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City | SAN JUAN
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State | PR
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Zip | 00926-7627
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Country | US
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Telephone | 787-364-9688
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Fax | 939-697-6003
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1846
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License Number State | PR
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