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General NPI Number Information
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NPI Number | 1679856017
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Entity Type | Individual
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Provider Name | MARYLIS MORALES TORRES M.S.W.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 03/13/2013
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Provider Practice Location Address
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Address Line | BARRIO MACANA SECTOR LOS TORRES CARR 132 KM 5
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-233-8100
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 6152
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City | PENUELAS
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State | PR
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Zip | 00624-9844
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Country | US
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Telephone | 787-233-8100
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 10757
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 10757
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 10757
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License Number State | PR
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