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General NPI Number Information
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NPI Number | 1225714827
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Entity Type | Individual
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Provider Name | ANA LIZ ADORNO LCDA
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Gender | Female
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 533 AVE ESCORIAL
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City | SAN JUAN
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State | PR
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Zip | 00920-4764
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Country | US
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Telephone | 787-225-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 1247 CARR 860 APT 315
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City | CAROLINA
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State | PR
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Zip | 00987-7239
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Country | US
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Telephone | 787-225-6297
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 7667
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License Number State | PR
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