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General NPI Number Information
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NPI Number | 1346734167
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Entity Type | Individual
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Provider Name | YAMILIS MIRAIDA RAMOS LPC
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Gender | Female
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 90 CALLE ANTONIO JIMENEZ LANDRAU 1ER NIVEL
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-944-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 963 CALLE JOSE DE JOSSIEU EL COMANDANTE
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City | SAN JUAN
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State | PR
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Zip | 00924-3515
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Country | US
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Telephone | 787-365-5262
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 4282
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License Number State | PR
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