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General NPI Number Information
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NPI Number | 1477293363
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Entity Type | Individual
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Provider Name | ALEXANDRA AMEZQUITA LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 273A BO. SABANA SECA CALLE LA MILAGROSA
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City | SABANA SECA
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State | PR
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Zip | 00952
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Country | US
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Telephone | 787-938-7616
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Fax |
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Provider Business Mailing Address
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Address Line | 47314 CALLE LA MILAGROSA BUZON #16
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City | SABANA SECA
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State | PR
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Zip | 00952
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Country | US
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Telephone | 787-938-7616
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10792
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License Number State | PR
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