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General NPI Number Information
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NPI Number | 1871207704
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Entity Type | Organization
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Legal Business Name | MINDSET THERAPY GROUP
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Dates
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Enumeration Date | 01/05/2023
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | AVENIDA NATIVA ALERS BARRIO PIEDRAS BLANCAS SECTOR DESVIO SUR 108L
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 787-692-4595
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Fax |
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Provider Business Mailing Address
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Address Line | AVENIDA NATIVA ALERS BARRIO PIEDRAS BLANCAS SECTOR DESVIO SUR 108L
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City | AGUADA
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State | PR
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Zip | 00602
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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 | CLINICAL PSYCHOLOGIST
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Name | STEPHANIE D RAMIREZ CRUZ
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Credential | PSYD
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Telephone | 787-692-4595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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