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General NPI Number Information
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NPI Number | 1750559399
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Entity Type | Individual
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Provider Name | DEBORAH CRUZ PSY.D
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Gender | Female
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 02/18/2008
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Provider Practice Location Address
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Address Line | CALLE MENDEZ VIGO # 410 OFICINA # 203 (ALTOS DORADO CAFE)
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City | DORADO
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State | PR
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Zip | 00646-4924
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Country | US
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Telephone | 787-616-2477
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Fax |
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Provider Business Mailing Address
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Address Line | 802 CALLE LOLA RODRIGUEZ DE TIO URB. COUNTRY CLUB
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City | SAN JUAN
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State | PR
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Zip | 00924-2510
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Country | US
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Telephone | 787-616-2477
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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 | 2964
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6871
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License Number State | PR
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