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General NPI Number Information
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NPI Number | 1801483003
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Entity Type | Individual
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Provider Name | KARLA DENNISE MARTINEZ CASIANO PHD
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Gender | Female
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Dates
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Enumeration Date | 12/22/2020
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | MEDICAL EMPORIUM II EDIFICIO SANTANDER SUITE 307
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City | MAYAGUEZ
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State | PR
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Zip | 00680
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Country | US
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Telephone | 939-218-4299
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Fax |
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Provider Business Mailing Address
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Address Line | EXTENSION COQUI C/ PALOMA #37
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City | SALINAS
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State | PR
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Zip | 00704
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Country | US
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Telephone | 787-450-7476
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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 | 6382
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License Number State | PR
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