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NPI 1811963770

NPI 1811963770 : NOEMI N. CORTES PSY.D. : CAGUAS, PR

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General NPI Number Information
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    NPI Number           |    1811963770
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    Entity Type          |    Individual 
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    Provider Name        |    NOEMI N. CORTES PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/28/2006
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    Last Update Date     |    01/02/2009
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Provider Practice Location Address
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    Address Line         |    SANTA MARIA ST. M3 AVE. BAIROA # 1
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    City                 |    CAGUAS
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    State                |    PR
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    Zip                  |    00725
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    Country              |    US
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    Telephone            |    787-948-7610
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5397 CUC STATION
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    City                 |    CAYEY
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    State                |    PR
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    Zip                  |    00737-5397
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    Country              |    US
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    Telephone            |    787-948-7610
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    Fax                  |    787-716-0946
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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       |    2326
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    License Number State |    PR
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