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General NPI Number Information
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NPI Number | 1881914026
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Entity Type | Organization
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Legal Business Name | CTRF
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Dates
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Enumeration Date | 06/10/2010
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | CALLE PASOE DEL CRISTO NUMERO 9
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-796-1837
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Fax | 787-796-1837
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Provider Business Mailing Address
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Address Line | CALLE PASEO DEL CRISTO NUMERO 9
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 787-796-1837
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Fax | 787-796-1837
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. SHARON L. ORTIZ
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Credential | PHD
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Telephone | 787-796-1837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | ASSMCA
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License Number State | PR
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