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General NPI Number Information
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NPI Number | 1215873229
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Entity Type | Individual
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Provider Name | MISAEL ABDIAS MELENDEZ LOPEZ
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Gender | Male
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | VALLEY HILLS PROFESSIONAL CENTER SUITE #5 CARR. 402 KM 2.9
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City | ANASCO
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State | PR
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Zip | 00610-2017
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Country | US
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Telephone | 939-376-1015
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 33163
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City | AGUADILLA
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State | PR
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Zip | 00603-9411
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Country | US
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Telephone | 939-376-1015
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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 | 15744
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License Number State | PR
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