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General NPI Number Information
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NPI Number | 1881797207
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Entity Type | Individual
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Provider Name | NANCY MORALES-RODRIGUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 1010 PASEO DEL VETERANO
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City | PONCE
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State | PR
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Zip | 00716-2001
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Country | US
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Telephone | 787-812-3030
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Fax |
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Provider Business Mailing Address
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Address Line | ST 16 S 14 URB LOMAS DE COUNTRY CLUB
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-400-2743
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 16347
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License Number State | PR
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