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General NPI Number Information
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NPI Number | 1508985177
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Entity Type | Organization
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Legal Business Name | BEHAVIORAL SCIENCE & TRAUMATIC STRESS INSTITUTE
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | M3 CALLE SANTA MARIA STE 1 BAIROA AVE.
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City | CAGUAS
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State | PR
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Zip | 00725-1570
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Country | US
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Telephone | 787-948-7610
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5397 CUC STATION
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City | CAYEY
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State | PR
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Zip | 00737-5397
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Country | US
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Telephone | 787-948-7610
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. NOEMI N CORTES
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Credential | PSYD
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Telephone | 787-948-7610
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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 | 2326
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License Number State | PR
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