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General NPI Number Information
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NPI Number | 1922881044
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Entity Type | Individual
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Provider Name | ISABEL CANTO RULLAN PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 265 E ROLLINS ST # 6
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City | ORLANDO
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State | FL
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Zip | 32804-5502
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Country | US
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Telephone | 407-821-3584
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Fax | 407-821-3585
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Provider Business Mailing Address
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Address Line | 743 CLAY ST APT 243
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City | WINTER PARK
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State | FL
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Zip | 32789-4590
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Country | US
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Telephone | 787-502-4888
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY12925
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License Number State | FL
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