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General NPI Number Information
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NPI Number | 1528506599
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Entity Type | Organization
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Legal Business Name | BELLAPSY INC
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Dates
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Enumeration Date | 02/09/2017
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Last Update Date | 02/09/2017
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Provider Practice Location Address
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Address Line | URB RIO GRANDE ESTATES CALLE 9A S12
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-463-8214
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Fax |
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Provider Business Mailing Address
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Address Line | URB RIO GRANDE ESTATES CALLE 9A S12
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-463-8214
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. BETHZAIDA OTERO
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Credential | PSY.D
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Telephone | 787-463-8214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 4158
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License Number State | PR
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