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General NPI Number Information
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NPI Number | 1326672684
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Entity Type | Individual
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Provider Name | MARILEEN Z MALDONADO PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 2 CALLE ACERINA
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City | CAGUAS
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State | PR
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Zip | 00725-2076
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Country | US
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Telephone | 787-493-9360
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Fax |
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Provider Business Mailing Address
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Address Line | VILLAS DE CASTRO T5 CALLE 19
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City | CAGUAS
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State | PR
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Zip | 00725-4649
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Country | US
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Telephone | 787-586-0238
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6505
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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 | 6505
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License Number State | PR
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