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General NPI Number Information
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NPI Number | 1356227516
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Entity Type | Organization
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Legal Business Name | CLINICA PSICOTERAPEUTICA PININOS LLC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | EDIF MICHELLE PLAZA 1212 CALLE ACACIA STE 210
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City | PONCE
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State | PR
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Zip | 00716-2982
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Country | US
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Telephone | 787-224-3003
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8195
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City | PONCE
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State | PR
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Zip | 00732-8195
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Country | US
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Telephone | 787-677-4514
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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 | SHAIRA J LOEPZ ACEVEDO
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Credential | SLP
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Telephone | 787-677-4514
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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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