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General NPI Number Information
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NPI Number | 1770808768
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Entity Type | Individual
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Provider Name | JOCELYN ENID MALDONADO M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/01/2010
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Last Update Date | 06/16/2020
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Provider Practice Location Address
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Address Line | CENTRO DE RECUPERACION DEL CARIBE BO. JAGUEYES, CARR.149, KM 58.1 SUITE G-2
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-955-1140
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Fax |
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Provider Business Mailing Address
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Address Line | URB. ESTANCIAS DEL MAYORAL 12109 CALLE TRAPICHE A-14
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-457-5045
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 1795
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1795
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License Number State | PR
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