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General NPI Number Information
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NPI Number | 1851717276
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Entity Type | Individual
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Provider Name | HAYDEE ENID LOPEZ DAVILA PH.D.
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Gender | Female
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | LOCAL 2 CARR 188 KM 2.0 CALLE 6
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City | CANOVANAS
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State | PR
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Zip | 00729-0697
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Country | US
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Telephone | 787-314-7605
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Fax |
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Provider Business Mailing Address
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Address Line | 8325 CALLE BELMONTE VISTAS DEL OCEANO
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City | LOIZA
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State | PR
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Zip | 00772-9757
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Country | US
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Telephone | 787-314-7605
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Fax | 787-256-9256
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 5214
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 005214
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 005214
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number | 005214
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 005214
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 005214
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License Number State | PR
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