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General NPI Number Information
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NPI Number | 1295934149
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Entity Type | Individual
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Provider Name | BERTA M. MARCHAND PSYCHOLOGIST
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Gender | Female
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | CALLE CANADA #1324 ASSMCA SAN PATRICIO ANTIGUES HOSPITAL VETERANOS
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City | RIO PIEDRAS
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State | PR
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Zip | 00928-1414
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Country | US
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Telephone | 787-783-8097
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Fax |
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Provider Business Mailing Address
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Address Line | LA COSTA APTS. 330
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City | FAJARDO
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State | PR
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Zip | 00738-5160
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Country | US
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Telephone | 787-414-7100
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 55
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License Number State | PR
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