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NPI 1649106394

NPI 1649106394 : JOSSETTE MARIE VALENTIN GREGORY : SAN GERMAN, PR

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General NPI Number Information
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    NPI Number           |    1649106394
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    Entity Type          |    Individual 
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    Provider Name        |    JOSSETTE MARIE VALENTIN GREGORY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/22/2026
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    Last Update Date     |    06/22/2026
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Provider Practice Location Address
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    Address Line         |    17 AVE UNIV INTERAMERICANA 
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    City                 |    SAN GERMAN
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    State                |    PR
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    Zip                  |    00683-3922
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    Country              |    US
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    Telephone            |    787-892-3333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    D10 CALLE 3 
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    City                 |    SABANA GRANDE
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    State                |    PR
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    Zip                  |    00637-1788
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    Country              |    US
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    Telephone            |    787-328-6894
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    7480
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    License Number State |    PR
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