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General NPI Number Information
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NPI Number | 1790202091
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Entity Type | Individual
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Provider Name | DIANELIS SANCHEZ MORALES MA
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Gender | Female
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 40 CARR 165 BUCHANAN OFFICE CENTER INTELLIGENCE FORECASTING CORP SUITE 302 FLOOR 3
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City | GUAYNABO
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State | PR
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Zip | 00968
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Country | US
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Telephone | 787-523-1712
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Fax | 787-523-1717
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Provider Business Mailing Address
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Address Line | HC 645 BOX 6421
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-9750
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Country | US
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Telephone | 787-674-9694
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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 | 5873
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License Number State | RI
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