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General NPI Number Information
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NPI Number | 1922915891
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Entity Type | Organization
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Legal Business Name | PUEDO LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 58 CALLE COLOMER SANCHEZ
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City | UTUADO
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State | PR
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Zip | 00641-2846
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Country | US
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Telephone | 787-382-8992
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Fax |
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Provider Business Mailing Address
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Address Line | URB COSTA NORTE 226
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City | HATILLO
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State | PR
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Zip | 00659-0000
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PISCOLOGA
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Name | WANDA I IZQUIERDO VALLE
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Credential | PSYD
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Telephone | 787-310-5821
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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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