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General NPI Number Information
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NPI Number | 1245120518
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Entity Type | Individual
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Provider Name | BIANCA PAOLA CARDONA LEBRON MS
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 67 CALLE PAVIA FERNANDEZ
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-2207
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Country | US
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Telephone | 787-920-1310
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Fax |
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Provider Business Mailing Address
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Address Line | HC 4 BOX 40142
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City | SAN SEBASTIAN
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State | PR
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Zip | 00685-8515
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Country | US
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Telephone | 787-354-2963
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 8358
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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 | 8358
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License Number State | PR
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