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General NPI Number Information
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NPI Number | 1780542506
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Entity Type | Individual
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Provider Name | MIGNA EILEEN CRUZ COLLAZO LCDA.
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Gender | Female
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | CALLE JOSE DE DIEGO #153 ESTE
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City | CAYEY
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State | PR
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Zip | 00736
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Country | US
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Telephone | 939-332-5010
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Fax |
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Provider Business Mailing Address
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Address Line | 1311CUIDAD PRIMAVERA CALLE ASUNCION
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City | CIDRA
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State | PR
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Zip | 00739
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Country | US
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Telephone | 939-332-5010
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4154
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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 | 8694
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License Number State | PR
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