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General NPI Number Information
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NPI Number | 1437112232
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Entity Type | Individual
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Provider Name | JOSE A TORRES BAEZ PSYD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | URB LOMAS VERDES 2U5 AVE LAUREL
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-251-4313
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Fax | 787-251-4313
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Provider Business Mailing Address
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Address Line | 6 CALLE MATIENZO CINTRON
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City | GUAYNABO
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State | PR
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Zip | 00965-5333
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Country | US
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Telephone | 787-603-4058
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Fax | 787-251-4313
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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 | 1871
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License Number State | PR
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