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General NPI Number Information
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NPI Number | 1528381076
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Entity Type | Organization
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Legal Business Name | SERVICIOS INTEGRADOS DE PSICOLOGIA, MEDIACION Y ARBITRAJE (SIPMA), INC
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | COND EL CENTRO II AVE. MUNOZ RIVERA 500 SUITE 233
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City | HATO REY
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State | PR
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Zip | 00918-3309
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Country | US
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Telephone | 787-638-2621
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Fax | 787-758-3256
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Provider Business Mailing Address
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Address Line | COND EL CENTRO II AVE. MUNOZ RIVERA 500 SUITE 233
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City | HATO REY
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-638-2621
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Fax | 787-758-3256
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Authorized Official
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Title or Position | VICEPRESIDENT
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Name | DR. MARTA ANGELIS RIVERA FIGUEROA
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Credential | PHD
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Telephone | 787-638-2621
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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 | 2208
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License Number State |
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