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General NPI Number Information
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NPI Number | 1487464111
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Entity Type | Individual
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Provider Name | RICHELYS TEJERO PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 3020 AVE SAN CRISTOBAL
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City | COTO LAUREL
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State | PR
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Zip | 00780-2896
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Country | US
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Telephone | 939-905-2910
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Fax |
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Provider Business Mailing Address
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Address Line | 3864 VALLE COSTERO CALLE ALGAS
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City | SANTA ISABEL
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State | PR
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Zip | 00757
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Country | US
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Telephone | 939-905-2910
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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 | 8299
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License Number State | PR
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