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General NPI Number Information
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NPI Number | 1770634958
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Entity Type | Individual
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Provider Name | JAVIER IVAN TORO PH.D.
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Gender | Male
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | M3 CALLE SANTA MARIA URB. BAIROA LOCAL #1
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City | CAGUAS
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State | PR
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Zip | 00725-1570
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Country | US
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Telephone | 787-612-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARQ DE LAS GAVIOTAS APT 904
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City | SABANA SECA
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State | PR
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Zip | 00952-4028
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Country | US
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Telephone | 787-612-3232
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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 | 2609
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License Number State | PR
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