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General NPI Number Information
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NPI Number | 1619908068
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Entity Type | Individual
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Provider Name | JUANITA M. SANABRIA RAMOS PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 06/09/2011
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Provider Practice Location Address
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Address Line | 30 CALLE PADIAL OFFICE 314
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City | CAGUAS
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State | PR
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Zip | 00725-3807
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Country | US
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Telephone | 787-703-0655
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Fax | 787-703-0655
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Provider Business Mailing Address
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Address Line | 78 VIA MIRADERO HACIENDA SAN JOSE
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City | CAGUAS
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State | PR
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Zip | 00727-3007
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Country | US
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Telephone | 787-703-0655
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Fax | 787-703-0655
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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 | 1706
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License Number State | PR
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