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General NPI Number Information
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NPI Number | 1255917084
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Entity Type | Individual
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Provider Name | EMILE YARIZ CRUZ M.S. SP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | AVE. HOSTOS #410 CARRETERA #2 BO. SABALO
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 787-840-2575
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Fax |
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Provider Business Mailing Address
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Address Line | RR 6 BOX 10674
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City | SAN JUAN
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State | PR
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Zip | 00926-9467
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Country | US
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Telephone | 939-265-8198
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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