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General NPI Number Information
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NPI Number | 1316614076
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Entity Type | Individual
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Provider Name | LAURIE JANICE RULLAN FERRER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | AVENIDA MANUEL FERNANDEZ JUNCOS ESQ CALLE AMADEO TORRE MEDICA SAN FERNANDO SUITE 501
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City | CAROLINA
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State | PR
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Zip | 00986-0008
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Country | US
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Telephone | 787-314-3680
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Fax |
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Provider Business Mailing Address
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Address Line | 402 BLVD MEDIA LUNA APT 1604 COND. VEREDAS DEL PARQUE
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City | CAROLINA
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State | PR
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Zip | 00987
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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 | 7068
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License Number State | PR
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