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General NPI Number Information
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NPI Number | 1497229009
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Entity Type | Individual
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Provider Name | EDWIN JAVIER RAMOS MARRERO MS
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Gender | Male
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 869 MAIN ST STE 6B
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City | WALPOLE
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State | MA
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Zip | 02081-2985
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Country | US
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Telephone | 617-299-9417
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1282
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City | AGUADA
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State | PR
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Zip | 00602-1282
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Country | US
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Telephone | 617-299-9417
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 6268
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 6268
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 6268
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 6268
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMHC10001385
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License Number State | MA
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LMHC10001385
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6268
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License Number State | PR
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Taxonomy #8
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | 6268
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License Number State | PR
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Taxonomy #9
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 6268
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License Number State | PR
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Taxonomy #10
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6268
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License Number State | PR
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