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General NPI Number Information
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NPI Number | 1295384485
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Entity Type | Individual
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Provider Name | GLYSETH MELENDEZ PEREZ LIC.
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Gender | Female
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | BO ORTIZ LOTE 21 CARR 827 KM 4.1
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-384-3401
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Fax |
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Provider Business Mailing Address
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Address Line | TERRAZAS DEL TOA 3J 39 CALLE 32
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-384-3401
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6238
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License Number State | PR
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