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General NPI Number Information
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NPI Number | 1255571915
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Entity Type | Individual
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Provider Name | PALOMA GONZALEZ MARQUES PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 12/23/2019
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Provider Practice Location Address
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Address Line | URB. EL CONVENTO CALLE 2 B-30
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 413-291-1806
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Fax |
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Provider Business Mailing Address
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Address Line | CIUDADAD UNIVERSITARIA AVE. PERIFERAL EDIF. B APT. 801
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City | TRUJILLO ALTO
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State | PUERTO RICO
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Zip | 00976
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Country | UM
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Telephone | 787-448-8031
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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 | 3236
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License Number State | PR
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