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General NPI Number Information
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NPI Number | 1326841651
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Entity Type | Organization
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Legal Business Name | MINDSET PSYCHOLOGICAL & CONSULTANT GROUP LLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | GALERIA PROFESIONAL 8118 CALLE CONCORDIA SUITE 102
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City | PONCE
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State | PR
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Zip | 00717-1589
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Country | US
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Telephone | 939-835-7257
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Fax |
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Provider Business Mailing Address
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Address Line | VISTAS DEL MAR 3310 CALLE DORADO
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City | PONCE
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State | PR
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Zip | 00716-0827
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Country | US
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Telephone | 939-835-7257
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MARILIA PADUA QUILES
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Credential | PSYD
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Telephone | 939-835-7257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 |
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