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General NPI Number Information
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NPI Number | 1588070908
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Entity Type | Individual
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Provider Name | WILNELYA MORALES ROSADO MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 05/25/2022
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Provider Practice Location Address
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Address Line | URB. CONTESSA EDIFICIO OILER EE10 PRIMER PISO
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City | BAYAMON
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State | PR
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Zip | 00955
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Country | US
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Telephone | 617-416-9248
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 194431
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City | SAN JUAN
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State | PR
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Zip | 00919-4431
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Country | US
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Telephone | 787-241-7003
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 282077
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License Number State | MA
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