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General NPI Number Information
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NPI Number | 1427965649
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Entity Type | Organization
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Legal Business Name | PHOENIX PSYCHOLOGICAL CARE AND CONSULTING
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | BO LOMAS VALLES CARR 8811 KM 0.2
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-619-3410
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 3331
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City | COROZAL
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State | PR
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Zip | 00783-9422
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Country | US
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Telephone | 787-619-3410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAIMARA ORTIZ
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Credential | PH.D
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Telephone | 787-619-3410
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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