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General NPI Number Information
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NPI Number | 1295384006
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Entity Type | Organization
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Legal Business Name | SIEMBRA Y AMA LLC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | CALLE SAN JORGE 258 TORRE MEDICA HOSPITAL SAN JORGE 204
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City | RIO PIEDRAS
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State | PR
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Zip | 00912
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Country | US
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Telephone | 787-223-5146
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Fax |
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Provider Business Mailing Address
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Address Line | AVE PALMA REAL APTO 12A1 MURANO APARTMENTS
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-239-7234
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AURA COLON RIVERA
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Credential | MD
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Telephone | 787-239-7234
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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 |
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License Number State |
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