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General NPI Number Information
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NPI Number | 1780390831
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Entity Type | Individual
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Provider Name | MRS. LESHMARIE DEMORIZI GUZMAN
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Gender | Female
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Dates
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Enumeration Date | 01/23/2023
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | #463 AVE. JUAN PONCE DE LEON/PLAZA AEELA SUITE 712
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 939-205-2345
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Fax | 787-946-5549
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Provider Business Mailing Address
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Address Line | URB. LOS COLOBOS PARK CALLE ALMENDRO 104
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 939-241-8777
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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 | 7527
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License Number State | PR
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