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General NPI Number Information
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NPI Number | 1316667231
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Entity Type | Organization
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Legal Business Name | NEURO-PSYCH-THERAPY LLC
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | URB. LA ESTANCIA 148 VIA PINTA
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-299-3841
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Fax | 939-945-8547
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Provider Business Mailing Address
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Address Line | URB. LA ESTANCIA 148 VIA PINTA
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-299-3841
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Fax | 939-945-8547
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. JOSELYD HERNANDEZ
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Credential | PH.D
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Telephone | 787-299-3841
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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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