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General NPI Number Information
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NPI Number | 1699474890
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL MORALES FEBLES CSW
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Gender | Male
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 1034 AVE HOSTOS
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City | PONCE
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State | PR
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Zip | 00716-1115
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Country | US
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Telephone | 787-843-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 4636 CALLE LA NINA
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City | PONCE
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State | PR
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Zip | 00728-2100
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Country | US
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Telephone | 787-974-3818
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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 | 13014
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License Number State | PR
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