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General NPI Number Information
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NPI Number | 1356274971
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Entity Type | Individual
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Provider Name | RUBEN ALEJANDRO JIMENEZ MSC/MHC, LPC
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Gender | Male
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | RR 1 BOX 10325
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City | OROCOVIS
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State | PR
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Zip | 00720-9657
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Country | US
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Telephone | 787-380-1962
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Fax |
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Provider Business Mailing Address
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Address Line | RR 1 BOX 10325
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City | OROCOVIS
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State | PR
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Zip | 00720-9657
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Country | US
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Telephone | 787-380-1962
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4887
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License Number State | PR
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