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General NPI Number Information
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NPI Number | 1699428086
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Entity Type | Organization
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Legal Business Name | HAPPY BRAINS PSYCHOLOGY PR
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Dates
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Enumeration Date | 01/27/2022
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | URB VILLA BLANCA CALLE ACERINA 2
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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 | 787-900-3983
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Fax |
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Provider Business Mailing Address
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Address Line | URB VILLA MARIA CALLE 3 T 17
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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 | 787-900-3983
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Fax |
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Authorized Official
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Title or Position | SICOLOGA
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Name | DR. NILMARIE MATOS FRADERA
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Credential | DR
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Telephone | 787-900-3983
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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