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General NPI Number Information
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NPI Number | 1245552793
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Entity Type | Individual
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Provider Name | MARIA DE LOS ANGELES LOPEZ-OSORIO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2010
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | URB. ROOSEVELT #458 CALLE JOSE CANALS SUITE 101
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City | HATO REY
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State | PR
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Zip | 00918
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Country | US
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Telephone | 939-639-6642
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Fax |
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Provider Business Mailing Address
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Address Line | BOSQUE DE LAS PALMAS 188 COCOPLUMOSO STREET
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City | BAYAMON
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State | PR
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Zip | 00956-9250
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Country | US
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Telephone | 939-639-6642
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3577
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License Number State | PR
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