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General NPI Number Information
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NPI Number | 1457522872
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Entity Type | Individual
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Provider Name | MRS. MARA TAVERAS PONCE
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Gender | Female
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 1029 AVE J T PINERO SUITE 203
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City | PUERTO NUEVO
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State | PR
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Zip | 00920-5612
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Country | US
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Telephone | 787-642-8844
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 AVE J T PINERO SUITE 203
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City | PUERTO NUEVO
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State | PR
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Zip | 00920-5612
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Country | US
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Telephone | 787-642-8844
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 2915
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License Number State | PR
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