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General NPI Number Information
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NPI Number | 1952521254
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Entity Type | Individual
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Provider Name | YOLANDA ACEVEDO CORTES PHD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 414 AVE BARBOSA AVE. BARBOSA 414, TERCER PISO
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City | SAN JUAN
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State | PR
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Zip | 00917-4306
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Country | US
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Telephone | 787-282-7618
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Fax | 787-759-6686
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Provider Business Mailing Address
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Address Line | HAMACA F-6, BRISAS DE MONTECASINOS, TOA ALTA,PR #605, BRISAS DE MONTECASINOS
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-251-3477
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Fax | 787-759-6686
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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 | 1107
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License Number State | PR
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