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General NPI Number Information
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NPI Number | 1831908979
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Entity Type | Individual
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Provider Name | DR. VICK MIREILY SANCHEZ PABON
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | BO ANCONES VISTAS DE ARROYO CALLE #1 B 26
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City | ARROYO
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State | PR
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Zip | 00714
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Country | US
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Telephone | 787-552-1001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1071
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City | PATILLAS
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State | PR
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Zip | 00723-1071
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Country | US
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Telephone | 787-552-1001
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 2693
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2693
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License Number State | PR
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