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General NPI Number Information
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NPI Number | 1831001981
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Entity Type | Organization
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Legal Business Name | TINY TRUNKS THERAPY
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | AGUADILLA MEDICAL SERVICCARR # 2, KM 129.3, BO VICTORIA OFICINA 100
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City | AGUADILLA
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State | PR
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Zip | 00603
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Country | US
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Telephone | 787-233-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 47 URB VISTA VERDE
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City | CAMUY
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State | PR
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Zip | 00627-3302
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Country | US
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Telephone | 787-346-4172
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS IDANARA T OCASIO QUINONES
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Credential |
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Telephone | 787-346-4172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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