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General NPI Number Information
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NPI Number | 1497493738
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Entity Type | Individual
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Provider Name | LAURA NOEMI ROSARIO NEGRON LCDA
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Gender | Female
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Dates
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Enumeration Date | 05/26/2022
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Last Update Date | 09/02/2023
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Provider Practice Location Address
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Address Line | 183 AVE UNIV INTERAMERICANA
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City | SAN GERMAN
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State | PR
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Zip | 00683-4455
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Country | US
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Telephone | 787-538-7999
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE 3 CASA C-4 URB. VILLA AIDA
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City | CABO ROJO
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State | PR
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Zip | 00623
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Country | US
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Telephone | 787-538-7999
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 7067
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License Number State | PR
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