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General NPI Number Information
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NPI Number | 1316709330
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Entity Type | Individual
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Provider Name | ANGELICA RIVERA-VILLEGAS MS
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Gender | Female
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 14 CALLE GEORGETTI
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City | SAN JUAN
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State | PR
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Zip | 00925-3606
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Country | US
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Telephone | 787-403-3453
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Fax |
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Provider Business Mailing Address
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Address Line | 108 CALLE BENITEZ CASTANO
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City | SAN JUAN
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State | PR
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Zip | 00911-2217
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Country | US
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Telephone | 787-403-3453
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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