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NPI 1841094307

NPI 1841094307 : VERONICA BURGOS MPSY : CAGUAS, PR

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General NPI Number Information
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    NPI Number           |    1841094307
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    Entity Type          |    Individual 
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    Provider Name        |    VERONICA BURGOS MPSY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/03/2025
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    Last Update Date     |    04/03/2025
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Provider Practice Location Address
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    Address Line         |    5 CARR 798 KM 0.5 BO. RIO CANAS 
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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            |    939-777-9512
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    321 CALLE GRAU 
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    City                 |    HUMACAO
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    State                |    PR
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    Zip                  |    00791-3154
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    Country              |    US
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    Telephone            |    939-777-9512
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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        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    7320
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    License Number State |    PR
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