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General NPI Number Information
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NPI Number | 1275403776
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Entity Type | Individual
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Provider Name | KAMILLE M RIVERA MENDEZ CPL
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Gender | Female
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | CALLE EMILIO DELGADO #1233 URB. CLUB MANOR
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-662-6603
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE EMILIO DELGADO #1233 URB. CLUB MANOR SAN JUAN PR
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-662-6603
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1744
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License Number State | PR
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