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General NPI Number Information
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NPI Number | 1215236922
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Entity Type | Individual
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Provider Name | MARCELA V. ROS ESCALANTE PSY.D
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Gender | Female
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 03/21/2011
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Provider Practice Location Address
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Address Line | 107 CALLE ORTEGON EDIF. CAPARRA GALLERY SUITE 312
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-226-8137
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Fax |
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Provider Business Mailing Address
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Address Line | 800 CALLE PIEDRAS NEGRAS APT. 3302
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City | SAN JUAN
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State | PR
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Zip | 00926-4731
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Country | US
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Telephone | 787-226-8137
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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 | 3951
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License Number State | PR
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