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General NPI Number Information
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NPI Number | 1699371328
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Entity Type | Individual
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Provider Name | WILMER CORTES MSW
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Gender | Male
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | PLAZA SAN ALFONSO AVENIDA GAUTIER BENITEZ ESQUINA DEGETAU
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-743-5702
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Fax |
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Provider Business Mailing Address
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Address Line | COND. TERRAZAS DE SAN JUAN CALLE WILLIAM BOSCH #1299 APT. 610
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-202-7421
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 15296
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License Number State | PR
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