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General NPI Number Information
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NPI Number | 1750080552
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Entity Type | Individual
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Provider Name | MS. ANTOINETTE BELTRAN-MELENDEZ
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Gender | Female
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Dates
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Enumeration Date | 03/01/2023
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Last Update Date | 03/01/2023
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Provider Practice Location Address
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Address Line | MAYAGUEZ MEDICAL CENTER CARRETERA 2 KM157 SABALOS
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City | MAYAGUEZ
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State | PR
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Zip | 00680-0068
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Country | US
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Telephone | 787-833-0663
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Fax |
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Provider Business Mailing Address
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Address Line | 4023 URB MONTE BELLO
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City | HORMIGUEROS
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State | PR
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Zip | 00660
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Country | US
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Telephone | 787-421-8812
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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 | 6738
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License Number State | PR
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