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General NPI Number Information
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NPI Number | 1497423628
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Entity Type | Organization
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Legal Business Name | DE LA PAZ - CPL, C.S.P.
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 988 AVE MUNOZ RIVERA STE 23
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City | SAN JUAN
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State | PR
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Zip | 00927-4309
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Country | US
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Telephone | 787-904-0084
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 173 267 CALLE SIERRA MORENA
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-904-0084
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA I DE LA PAZ TORRES
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Credential |
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Telephone | 787-904-0084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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