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General NPI Number Information
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NPI Number | 1427570027
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Entity Type | Organization
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Legal Business Name | PUERTO RICO COUNSELING AND PSYCHOLOGY SERVICES
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Dates
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Enumeration Date | 07/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 14 JUAN MARTINEZ MALAGA PARK, 112
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City | GUAYNABO
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State | PR
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Zip | 00971
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Country | US
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Telephone | 787-318-8201
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Fax |
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Provider Business Mailing Address
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Address Line | 14 JUAN MARTINEZ MALAGA PARK, 112
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City | GUAYNABO
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State | PR
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Zip | 00971
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Country | US
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Telephone | 787-318-8201
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHAILA HUNG
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Credential | PHD CLINICAL PSYCH
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Telephone | 787-318-8201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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