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General NPI Number Information
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NPI Number | 1326151911
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Entity Type | Individual
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Provider Name | VIRGINIA ALEJANDRA GRUNDLER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 281 AVE WINSTON CHURCHILL SUITE 1
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City | SAN JUAN
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State | PR
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Zip | 00926-6654
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Country | US
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Telephone | 787-531-5360
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Fax | 787-641-5716
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Provider Business Mailing Address
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Address Line | VETERANS ADMINISTRTION, VETERANS HOSPITAL 10 CASIA ST. MAIL SYMBOL 117
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-531-5360
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Fax | 787-641-5716
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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 | 1937
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License Number State | PR
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Taxonomy #2
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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 | IL
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