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General NPI Number Information
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NPI Number | 1942013776
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Entity Type | Individual
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Provider Name | ADRIANA NICOLE BAEZ PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | CARR. 695 KM 2.0 LOCAL 6, SEGUNDO NIVEL, URB. DORAVILLE
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City | DORADO
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State | PR
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Zip | 00646
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Country | US
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Telephone | 939-545-5241
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Fax |
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Provider Business Mailing Address
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Address Line | COND. QUINTAVALLE NORTE CALLE ACUARELA 110 APT. 78
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-645-8262
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 8104
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License Number State | PR
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