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General NPI Number Information
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NPI Number | 1396667770
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Entity Type | Individual
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Provider Name | IDAMIS BEATRIZ DIAZ
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | URB. COLINAS DE JUNCOS CALLE LA CEIBA CASA A-5
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City | JUNCOS
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State | PR
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Zip | 00777-9442
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Country | US
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Telephone | 939-258-2324
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Fax |
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Provider Business Mailing Address
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Address Line | URB. COLINAS DE JUNCOS 307 CALLE LA CEIBA
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City | JUNCOS
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State | PR
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Zip | 00777-9442
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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