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General NPI Number Information
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NPI Number | 1831093426
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Entity Type | Organization
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Legal Business Name | ESENCIA PLENA SERVICIOS PSICOLOGICOS
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | CALLE PINO H-33 LOCAL 2 VILLA TURABO
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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 | 939-223-8298
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4952
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City | CAGUAS
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State | PR
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Zip | 00726-4952
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSICOLOGA CLINICA
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Name | NINOSHKA CACERES
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Credential |
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Telephone | 939-223-8298
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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 |
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License Number State | NULL
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