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General NPI Number Information
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NPI Number | 1720207590
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Entity Type | Individual
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Provider Name | SHEILA ODETTE RIVERA-CALES PH.D.
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ASSMCA
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City | PONCE
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State | PR
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Zip | 00731
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Country | US
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Telephone | 787-284-1205
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE FLAMBOYAN, URB. SANTA ELENA G-2
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City | GUAYANILLA
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State | PR
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Zip | 00656-1414
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Country | US
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Telephone | 178-783-5271
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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 | 1390
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License Number State | PR
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