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General NPI Number Information
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NPI Number | 1225342645
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Entity Type | Individual
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Provider Name | WILLIAM A FLECHA PHD, MPH
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Gender | Male
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Dates
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Enumeration Date | 07/27/2010
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 110 CALLE BORINQUEN SUITE 2-1
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-5981
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Country | US
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Telephone | 123-123-1234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3151
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City | MANATI
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State | PR
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Zip | 00674-3151
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Country | US
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Telephone |
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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 | 4593
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 4593
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License Number State | PR
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