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General NPI Number Information
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NPI Number | 1487064739
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Entity Type | Individual
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Provider Name | EMERITA E MENDEZ RIOS
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Gender | Female
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 08/18/2017
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Provider Practice Location Address
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Address Line | 1007 AVE MUNOZ RIVERA SUITE 402 EDIFICIO DARLINGTON
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City | RIO PIEDRAS
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-448-3303
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Fax |
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Provider Business Mailing Address
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Address Line | HC-04 BOX 47199
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-448-3303
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 005495
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License Number State | PR
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