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General NPI Number Information
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NPI Number | 1265148597
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Entity Type | Individual
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Provider Name | HJALMAR MANUEL ZAMBRANA BONAPARTE PSYD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 1493 CAMBRIDGE ST
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City | CAMBRIDGE
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State | MA
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Zip | 02139-1047
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Country | US
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Telephone | 617-591-4213
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Fax |
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Provider Business Mailing Address
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Address Line | URB. COLINAS ALTURAS DE MAYAGUEZ 2024
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City | MAYAGUEZ
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State | PR
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Zip | 00682
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Country | US
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Telephone | 787-481-0511
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 6235
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6235
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License Number State | NC
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