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General NPI Number Information
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NPI Number | 1447581582
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Entity Type | Individual
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Provider Name | REINALDO OQUENDO PH,D A.B.D , PCTFP
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Gender | Male
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Dates
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Enumeration Date | 01/28/2010
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Last Update Date | 01/28/2010
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Provider Practice Location Address
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Address Line | ST. 833 KM. 12.4 BO. LOS FRAILES
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City | GUAYNABO
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State | PR
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Zip | 00970
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Country | US
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Telephone | 787-790-6448
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Fax |
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Provider Business Mailing Address
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Address Line | PRADERA DEL RIO # 3112 ST. RIO BUCANA
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City | TOA ALTA
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State | PR
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Zip | 00953-9111
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Country | US
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Telephone | 787-458-0161
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Fax | 787-799-4148
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2275
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2275
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License Number State | PR
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