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General NPI Number Information
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NPI Number | 1902204241
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Entity Type | Organization
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Legal Business Name | ARMONIA CENTRO PSICOLOGICO Y EDUCATIVO INTEGRAL, IN
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Dates
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Enumeration Date | 12/19/2014
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Last Update Date | 12/19/2014
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Provider Practice Location Address
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Address Line | AVE AA, D17 CIUDAD UNIVERSITARIA
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-602-5552
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Fax |
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Provider Business Mailing Address
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Address Line | CIUDAD UNIVERSITARIA AVENIDA AA, D17
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City | TRUJILLO ALTO
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State | PUERTO RICO
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Zip | 00976
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Country | AX
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Telephone | 787-602-5552
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Fax |
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Authorized Official
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Title or Position | ADMINISTRADOR
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Name | MR. MANUEL O VELAZQUEZ
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Credential |
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Telephone | 787-602-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | PR
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