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General NPI Number Information
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NPI Number | 1255020376
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Entity Type | Individual
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Provider Name | ROCIO MALDONADO
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Gender | Female
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Dates
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Enumeration Date | 05/04/2023
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Last Update Date | 05/04/2023
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Provider Practice Location Address
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Address Line | ASSMCA CARR. NO. 2 KM. 8.2 BO. JUAN SANCHEZ
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City | BAYAMON
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State | PR
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Zip | 00960-0096
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Country | US
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Telephone | 787-706-7946
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Fax |
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Provider Business Mailing Address
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Address Line | 1121 CALLE 3
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City | SAN JUAN
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State | PR
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Zip | 00927-5132
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Country | US
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Telephone | 787-922-4088
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 75659
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License Number State | PR
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