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General NPI Number Information
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NPI Number | 1548439169
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Entity Type | Individual
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Provider Name | YARIMAR ROSA-RODRIGUEZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | COND. PALMA DORADA VILLAGE APT. 503
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City | VEGA ALTA
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State | PR
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Zip | 00692-0000
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Country | US
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Telephone | 787-529-9797
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1550
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City | DORADO
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State | PR
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Zip | 00646-1550
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2903
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License Number State | PR
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