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General NPI Number Information
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NPI Number | 1538213996
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Entity Type | Individual
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Provider Name | YOLANDA MARGARITA DEL C. RUIZ ESPARZA Y PEREZ PHD
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Gender | Female
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 04/04/2018
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Provider Practice Location Address
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Address Line | PLAZA CONSTANCIA SUITE 102 CARR 2 KM 166.4 BO LAVADERO
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-647-5445
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2871
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City | SAN GERMAN
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State | PR
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Zip | 00683-2871
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Country | US
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Telephone | 787-647-5445
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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 | 1583
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License Number State | PR
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