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General NPI Number Information
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NPI Number | 1699857805
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Entity Type | Individual
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Provider Name | LUZ E. IRIZARRY RAMOS PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 66 CARR 848 ESQ FLORENTINO PLAZA 2DO PISO OFIC 1 A VILLA SAN ANTON
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City | CAROLINA
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State | PR
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Zip | 00987-6857
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Country | US
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Telephone | 787-257-8967
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Fax |
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Provider Business Mailing Address
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Address Line | 7001 COND AVENTURA ENCANTADA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-257-8967
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 001717
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License Number State | PR
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