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General NPI Number Information
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NPI Number | 1316194335
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Entity Type | Individual
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Provider Name | JOSE JESUS NAVAS ROBLETO PH.D,
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Gender | Male
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Dates
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Enumeration Date | 08/20/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 829 AVE SAN PATRICIO CENTRO COMERCIAL UMBO SEGUNDO NIVEL
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City | RIO PIEDRAS
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State | PR
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Zip | 00921-1314
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Country | US
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Telephone | 787-783-0503
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Fax | 787-791-2661
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Provider Business Mailing Address
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Address Line | 7 AVE LAGUNA CONDOMINIO LAGOMAR APT. 5-C
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City | CAROLINA
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State | PR
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Zip | 00979-6501
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Country | US
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Telephone | 787-550-2776
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Fax | 787-791-2661
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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 | 407
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License Number State | PR
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