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General NPI Number Information
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NPI Number | 1801602727
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Entity Type | Individual
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Provider Name | IVANNYS ALEXKA CAPPAS PEREZ PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/05/2024
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1 CARR 132 KM 9.4 SOLAR SANTO DOMINGO I
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-974-7396
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 10832
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City | GUAYANILLA
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State | PR
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Zip | 00656-9527
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Country | US
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Telephone | 787-974-7396
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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 | 8119
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License Number State | PR
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