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NPI 1255224440

NPI 1255224440 : NAMYR CAMIL HORNEDO MA : ARECIBO, PR

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General NPI Number Information
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    NPI Number           |    1255224440
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    Entity Type          |    Individual 
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    Provider Name        |    NAMYR CAMIL HORNEDO MA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/29/2025
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    Last Update Date     |    05/29/2025
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Provider Practice Location Address
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    Address Line         |    AVE. CATALINA KM 2.4 PARCELA #3 SECTOR BARRANCA
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    City                 |    ARECIBO
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    State                |    PR
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    Zip                  |    00612
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    Country              |    US
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    Telephone            |    787-718-0533
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    606 CALLE TURIN 
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    City                 |    VEGA BAJA
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    State                |    PR
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    Zip                  |    00693-3604
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    Country              |    US
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    Telephone            |    787-354-9958
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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       |    2184
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    License Number State |    PR
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