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General NPI Number Information
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NPI Number | 1437835311
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Entity Type | Individual
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Provider Name | MICHELLE PACHECO RODRIGUEZ PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | CALLE DOCTOR GOYCO ESQUINA ACOSTA LOCAL 202
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City | CAGUAS
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State | PR
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Zip | 00725-9998
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Country | US
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Telephone | 787-638-5386
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1554
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City | JUNCOS
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State | PR
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Zip | 00777-1554
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Country | US
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Telephone |
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Fax |
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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 | 7726
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License Number State | PR
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