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General NPI Number Information
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NPI Number | 1710277488
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Entity Type | Organization
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Legal Business Name | PIENSA
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Dates
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Enumeration Date | 04/14/2011
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | AVE. PONCE DE LEON 1100 SUITE 204
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-667-9359
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Fax |
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Provider Business Mailing Address
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Address Line | AVE. PONCE DE LEON 1100 SUITE 204
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City | SAN JUAN
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State | PR
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Zip | 00925
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Country | US
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Telephone | 787-667-9359
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | MRS. NAYCHALY RIVERA-NIEVES
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Credential | M.A.
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Telephone | 787-667-9359
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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 | 3936
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License Number State | PR
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