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General NPI Number Information
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NPI Number | 1417655457
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Entity Type | Organization
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Legal Business Name | POSITIVE PSYCHOLOGY AND COACHING CENTER
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 02/20/2023
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Provider Practice Location Address
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Address Line | 126 CALLE CRUZ ORTIZ STELLA S
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City | HUMACAO
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State | PR
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Zip | 00791-3727
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Country | US
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Telephone | 939-452-8272
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 466
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City | GUAYAMA
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State | PR
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Zip | 00785-0466
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Country | US
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Telephone | 939-452-8272
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. ROBERTO IRIZARRY
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Credential | PSYD
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Telephone | 939-452-8272
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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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