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General NPI Number Information
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NPI Number | 1275132318
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Entity Type | Individual
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Provider Name | MARIA G BALAGUER
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | PORTICOS DE GUAYNABO CALLE 1 VILLEGAS APT 1-201
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City | GUAYNABO
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State | PR
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Zip | 00971
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Country | US
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Telephone | 787-272-6414
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2496
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City | GUAYNABO
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State | PR
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Zip | 00970-2496
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Country | US
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Telephone | 787-525-4953
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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 | 1805
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License Number State | PR
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