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General NPI Number Information
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NPI Number | 1548935430
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Entity Type | Individual
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Provider Name | LUIS BARRIOS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 08/12/2021
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | AVENIDA EDUARDO CONDE #129
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City | SAN JUAN
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State | PR
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Zip | 00915-3621
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Country | US
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Telephone | 917-697-7056
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Fax |
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Provider Business Mailing Address
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Address Line | 13332 129TH ST
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11420-3306
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Country | US
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Telephone | 917-697-7056
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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 | 301
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License Number State | PR
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