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General NPI Number Information
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NPI Number | 1881949790
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Entity Type | Individual
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Provider Name | JEY ROMERO TOSADO
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Gender | Male
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | CARR 2 KM 42.5 BO ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00694
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Country | US
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Telephone | 787-313-8344
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Fax | 787-621-4025
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Provider Business Mailing Address
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Address Line | PO BOX 620
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City | VEGA BAJA
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State | PR
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Zip | 00694-0620
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Country | US
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Telephone | 787-313-8344
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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 | 4334
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License Number State | PR
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