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General NPI Number Information
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NPI Number | 1477435758
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Entity Type | Organization
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Legal Business Name | UN DIA A LA VEZ LLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | CARR 857 KM8 HM9 BO CARRUZOS
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 717-982-3123
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Fax |
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Provider Business Mailing Address
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Address Line | 1208 AMBER LN
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City | HARRISBURG
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State | PA
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Zip | 17111-3106
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Country | US
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Telephone | 717-982-3123
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | ROSA LOPEZ OTERO
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Credential | PSYD
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Telephone | 717-982-3123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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