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General NPI Number Information
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NPI Number | 1427134899
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Entity Type | Individual
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Provider Name | ESMERALDA CASTILLO VELIZ PSY.D
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Gender | Female
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 12/21/2009
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Provider Practice Location Address
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Address Line | 359 CALLE SAN CLAUDIO OFICINA 206, CUPEY PROFESSIONAL MALL
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City | RIO PIEDRAS
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State | PR
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Zip | 00926-9907
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Country | US
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Telephone | 787-760-7064
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Fax |
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Provider Business Mailing Address
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Address Line | DM16 CALLE COLINAS VALLE VERDE 3
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City | BAYAMON
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State | PR
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Zip | 00961-3355
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Country | US
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Telephone | 787-210-7151
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Fax | 787-760-7064
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2166
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License Number State | PR
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