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General NPI Number Information
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NPI Number | 1558345900
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Entity Type | Individual
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Provider Name | FRANCIS REYNALDO PEREZ CUADRADO PH. D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 1801 AVE PONCE DE LEON OFIC 311
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City | SANTURCE
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-727-2424
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Fax | 787-727-2424
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Provider Business Mailing Address
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Address Line | RIBERAS DEL RIO GARDENS APT 304-B
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-272-0422
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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 | 002497
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License Number State | PR
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