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General NPI Number Information
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NPI Number | 1912665274
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Entity Type | Organization
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Legal Business Name | JUNTO A TI, LLC
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Dates
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Enumeration Date | 12/03/2021
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 16 CALLE ORION
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City | HUMACAO
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State | PR
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Zip | 00791-3917
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Country | US
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Telephone | 787-719-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 16 CALLE ORION
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City | HUMACAO
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State | PR
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Zip | 00791-3917
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Country | US
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Telephone | 787-719-6060
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST CLINICAL
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Name | DR. BETSY MILEYSHA LOPEZ APONTE
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Credential | PSYD
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Telephone | 787-560-7635
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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