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General NPI Number Information
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NPI Number | 1639501406
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Entity Type | Organization
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Legal Business Name | EMV SERVICIOS PSICOLOGICOS
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | PLAZA PUERTA DEL SOL CALLE MIGUEL OTERO 202 SUITE 101
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 939-630-5720
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Fax |
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Provider Business Mailing Address
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Address Line | V9 12TH STREET ALTURAS DE FLAMBOYAN
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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 | 787-638-8267
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Fax | 787-854-0030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIKA JANICE MOLINA
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Credential | PSYD
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Telephone | 787-638-8267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 3384
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License Number State | PR
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