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General NPI Number Information
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NPI Number | 1306759022
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Entity Type | Organization
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Legal Business Name | SICOH CORP
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | BO SUSUA BAJA CARR 368 KM 12.7
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City | YAUCO
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State | PR
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Zip | 00698-2501
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Country | US
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Telephone | 787-515-7426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5201
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City | YAUCO
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State | PR
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Zip | 00698-5201
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Country | US
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Telephone | 787-515-7426
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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. CARMEN MINERVA QUINONES
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Credential | PH.D.
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Telephone | 787-473-4712
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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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