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General NPI Number Information
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NPI Number | 1790998037
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Entity Type | Organization
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Legal Business Name | CENTRO DE RECUPERACION DEL CARIBE
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | EDIF. SAN GERARDO SUITE 207 G BO. TIERRA SANTA CARR. 149 KM 58.0
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-847-6700
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Fax | 787-847-6700
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Provider Business Mailing Address
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Address Line | HC-01 BOX 4745
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City | VILLALBA
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State | PR
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Zip | 00766
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Country | US
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Telephone | 787-847-6700
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Fax | 787-847-6700
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Authorized Official
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Title or Position | DIRECTORA
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Name | KARLA I CASALDUC
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Credential | PSY,D.
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Telephone | 787-847-6700
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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 |
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License Number State |
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