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General NPI Number Information
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NPI Number | 1467702431
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Entity Type | Individual
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Provider Name | NATHALIE RUTH FELIPA PHD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 06/25/2015
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Provider Practice Location Address
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Address Line | 1348 PASEO DURAZNO
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City | TOA BAJA
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State | PR
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Zip | 00949-4134
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Country | US
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Telephone | 787-604-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 CALLE CORAL APT 1332
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City | TOA BAJA
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State | PR
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Zip | 00949-3065
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Country | US
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Telephone | 787-604-9280
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3871
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License Number State | PR
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