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General NPI Number Information
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NPI Number | 1861121493
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Entity Type | Individual
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Provider Name | GLADYS MARIA LABOY GARCIA PHD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | CONDOMINIO SKY TOWER 3 APT. 1A
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-567-7716
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Fax |
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Provider Business Mailing Address
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Address Line | VILLA BLANCA AVE LUIS MUNOZ MARIN ESQUINA CALLE 12 NUM J1 BAJOS
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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 | 787-567-7716
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 5344
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License Number State | PR
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