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General NPI Number Information
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NPI Number | 1477048254
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Entity Type | Individual
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Provider Name | MILLIAM ENID ROMAN LPC
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Gender | Female
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Dates
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Enumeration Date | 06/25/2018
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 90 CALLE ANTONIO JIMENEZ LANDRAU
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-944-4411
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Fax |
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Provider Business Mailing Address
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Address Line | 415 LERIDA MANSIONES CIUDAD JARDIN
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City | CAGUS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-370-6643
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2532
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License Number State | PR
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