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General NPI Number Information
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NPI Number | 1215639224
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Entity Type | Individual
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Provider Name | DAPHNE LIZ PARRILLA BETANCOURT LCSW,MSW
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Gender | Female
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Dates
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Enumeration Date | 03/21/2023
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 73 CALLE ZUMBADOR
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City | RIO GRANDE
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State | PR
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Zip | 00745-9628
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Country | US
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Telephone | 939-349-6509
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Fax |
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Provider Business Mailing Address
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Address Line | 73 CALLE ZUMBADOR VILLA REALIDAD
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City | RIO GRANDE
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State | PR
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Zip | 00745-9628
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Country | US
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Telephone | 939-349-6509
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16551
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10721
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 26075
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License Number State | PR
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