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General NPI Number Information
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NPI Number | 1902329451
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Entity Type | Individual
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Provider Name | MS. MAYRA I APONTE
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 07/17/2017
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Provider Practice Location Address
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Address Line | CARRETERA 174 KM 22.1 BO MULAS SECTOR HUCARES
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-8316
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Country | US
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Telephone | 787-362-4089
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 14996
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-8316
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Country | US
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Telephone | 787-362-4089
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1626
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 1626
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1626
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 1626
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License Number State | PR
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