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General NPI Number Information
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NPI Number | 1679948228
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Entity Type | Individual
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Provider Name | MARIA ISABEL DE LA PAZ CPL
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Gender | Female
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 01/31/2018
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Provider Practice Location Address
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Address Line | 267 CALLE SIERRA MORENA
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City | SAN JUAN
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State | PR
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Zip | 00926-5574
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Country | US
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Telephone | 787-904-0084
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Fax |
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Provider Business Mailing Address
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Address Line | 267 CALLE SIERRA MORENA PMB 173
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City | SAN JUAN
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State | PR
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Zip | 00926-5636
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Country | US
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Telephone | 787-904-0084
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CPL4185
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | CPL4185
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License Number State | PR
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