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General NPI Number Information
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NPI Number | 1699910331
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Entity Type | Individual
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Provider Name | CARMEN ISABEL CANAS PH.D.
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Gender | Female
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 12/10/2008
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Provider Practice Location Address
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Address Line | AVE ALEJANDRINO # 9 CARR. 838 KM. 0.1
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City | GUAYNABO
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State | PR
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Zip | 00969-7003
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Country | US
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Telephone | 787-759-8102
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 AVE SAN IGNACIO COND. SAN IGNACIO APT. 8-I
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City | SAN JUAN
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State | PR
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Zip | 00921-3814
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Country | US
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Telephone | 787-759-8102
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3086
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License Number State | PR
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