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General NPI Number Information
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NPI Number | 1245440908
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Entity Type | Individual
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Provider Name | DEBRA LYNNE REUBEN PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | CONDOMINIO GALERIA I, SUITE 8 201 ARTERIAL HOSTOS AVE.
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-287-9446
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Fax |
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Provider Business Mailing Address
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Address Line | COND. GALERIA I, SUITE #8, MAILBOX 208 201 AVE. ARTERIAL HOSTOS
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City | SAN JUAN
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State | PR
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Zip | 00918-1405
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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 | 1254
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License Number State | PR
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