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General NPI Number Information
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NPI Number | 1730504283
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Entity Type | Organization
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Legal Business Name | AMT PSYCHOLOGICAL AND CONSULTING GROUP PSC
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | CARIBBEAN MEDICAL CENTER ANEXO 2279
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-651-7005
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Fax | 787-651-7005
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Provider Business Mailing Address
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Address Line | PO BOX 904
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City | ADJUNTAS
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State | PR
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Zip | 00601-0904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIAN B ALVAREZ TORRES
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Credential | PSYD
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Telephone | 787-949-8658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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