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General NPI Number Information
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NPI Number | 1770849457
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Entity Type | Individual
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Provider Name | LOURDES DE LOS ANGELES SOLER M.A.
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Gender | Female
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Dates
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Enumeration Date | 04/06/2012
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Last Update Date | 04/06/2012
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Provider Practice Location Address
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Address Line | HA6 CALLE PALMA SOLA GARDEN HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966-2921
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Country | US
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Telephone | 787-923-5996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9787
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City | SAN JUAN
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State | PR
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Zip | 00908-0787
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Country | US
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Telephone |
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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 | 1499
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License Number State | PR
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