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General NPI Number Information
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NPI Number | 1306621354
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Entity Type | Individual
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Provider Name | DR. HECTOR E LOPEZ-SIERRA
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | PORTALES DE PARQUE ESCORIAL # G7303
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City | CAROLINA
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State | PR
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Zip | 00987-4711
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Country | US
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Telephone | 787-644-1785
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30659
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City | SAN JUAN
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State | PR
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Zip | 00929-1659
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Country | US
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Telephone | 787-644-1785
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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 | 004731
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License Number State | PR
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