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General NPI Number Information
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NPI Number | 1245199231
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Entity Type | Individual
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Provider Name | CRISTIAN GABRIEL PELLICIER RODRIGUEZ M.S. IN PSYCHOLOGY
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Gender |
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 32HR VX4, CLL SAN ISIDRO, FINAL,
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City | SABANA GRANDE
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State | PR
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Zip | 00637
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Country | US
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Telephone | 787-475-8714
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Fax |
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Provider Business Mailing Address
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Address Line | 3104 PASEO DEL FARO
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City | BOQUERON
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State | PR
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Zip | 00622-9402
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Country | US
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Telephone | 787-475-8714
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | 8005
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License Number State | PR
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