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General NPI Number Information
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NPI Number | 1306063151
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Entity Type | Individual
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Provider Name | LUIS E. SALICETI PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 62 CALLE RODULFO GONZALEZ STE 3
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City | ADJUNTAS
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State | PR
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Zip | 00601-2116
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Country | US
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Telephone | 787-617-6192
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Fax |
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Provider Business Mailing Address
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Address Line | F6 CALLE FAGOT
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City | GUAYNABO
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State | PR
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Zip | 00969-6220
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2692
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License Number State | PR
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