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General NPI Number Information
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NPI Number | 1245444793
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Entity Type | Individual
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Provider Name | GLORIA DURAN PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 28 CALLE MUNOZ RIVERA W
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City | RINCON
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State | PR
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Zip | 00677-2127
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Country | US
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Telephone | 787-823-5500
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Fax | 787-823-2990
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Provider Business Mailing Address
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Address Line | 110 URB VISTA DEL MAR
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City | MAYAGUEZ
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State | PR
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Zip | 00682-6271
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Country | US
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Telephone | 787-823-5500
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Fax | 787-823-2990
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1882
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1882
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License Number State | PR
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