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General NPI Number Information
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NPI Number | 1730868373
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Entity Type | Individual
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Provider Name | VALERIA MICHELLE LOPEZ OLMO MS
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | CARR. 191 KM 1.1 PALMER GALATEO
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-455-7741
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Fax |
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Provider Business Mailing Address
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Address Line | D4202 CONDOMINIO COSTA ESMERALDA
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City | CEIBA
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State | PR
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Zip | 00735-9998
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Country | US
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Telephone | 787-455-7741
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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 | 7706
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License Number State | PR
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