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General NPI Number Information
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NPI Number | 1538584297
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Entity Type | Organization
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Legal Business Name | MIND&BODY PSYCHOLOGICAL INTEGRAL HEALTH INC
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 511 AVE DE HOSTOS SUITE 103
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City | SAN JUAN
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State | PR
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Zip | 00918-3247
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Country | US
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Telephone | 787-366-1507
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Fax |
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Provider Business Mailing Address
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Address Line | HC 04 PMB 44374 MSC 1244
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City | CAGUAS
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State | PR
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Zip | 00727
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Country | US
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Telephone | 787-366-1507
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MONICA PARRA
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Credential |
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Telephone | 787-366-1507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | PR
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