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General NPI Number Information
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NPI Number | 1922508308
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Entity Type | Individual
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Provider Name | LILLIAN ROSADO LMSW
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Gender | Female
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Dates
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Enumeration Date | 02/13/2018
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 1577 CALLE NAIRA COMUNIDAD PUNTA DIAMANTE
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City | PONCE
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State | PR
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Zip | 00728
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Country | US
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Telephone | 787-319-9066
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Fax |
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Provider Business Mailing Address
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Address Line | 1577 CALLE NAIRA COMUNIDAD PUNTA DIAMANTE
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City | PONCE
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State | PR
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Zip | 00728
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Country | US
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Telephone | 787-319-9066
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 9687
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | 9687
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License Number State | PR
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Taxonomy #6
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number | 9687
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License Number State | PR
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Taxonomy #10
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9687
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License Number State | PR
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