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General NPI Number Information
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NPI Number | 1780490714
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Entity Type | Individual
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Provider Name | STEPHANE GUZMAN GARCIA PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | URB. VILLA CAROLINA, 30A-10 AVE. ROBERTO CLEMENTE, ESQ.
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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 | 787-568-1799
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Fax |
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Provider Business Mailing Address
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Address Line | QG2 CALLE 525
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City | CAROLINA
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State | PR
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Zip | 00982-2019
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Country | US
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Telephone | 787-568-1799
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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 | 8165
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License Number State | PR
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