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General NPI Number Information
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NPI Number | 1396680070
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Entity Type | Organization
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Legal Business Name | CENTRO PSICOLOGICO Y TERAPEUTICO PARA LA FAMILIA ENCUENTRO
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | AVE PASEOS DE LOS GIGANTES VIA 21 RL9
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-206-5967
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Fax |
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Provider Business Mailing Address
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Address Line | REY ARTURO RIO GRANDE ESTATE 10413
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-206-5967
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Fax |
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Authorized Official
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Title or Position | AGENTE RESIDENTE
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Name | LIZEYLA NICOLAU
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Credential |
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Telephone | 787-206-5967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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