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General NPI Number Information
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NPI Number | 1225991342
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Entity Type | Individual
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Provider Name | LESSLIE MARIA MELENDEZ ROMAN DOCTORA
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 55 N CALLE DR BASORA EDIFICIO MEDICO IV SUITE 210
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City | MAYAGUEZ
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State | PR
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Zip | 00680-4810
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Country | US
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Telephone | 939-640-7938
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 185
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City | CABO ROJO
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State | PR
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Zip | 00623-0185
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Country | US
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Telephone | 939-640-7938
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Fax | 939-640-7938
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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 | 8788
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License Number State | PR
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