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General NPI Number Information
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NPI Number | 1962210609
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Entity Type | Organization
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Legal Business Name | THERAPY & FAMILY COUNSELING CORP
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 634 CALLE ALDEBARAN
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City | SAN JUAN
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State | PR
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Zip | 00920-4226
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Country | US
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Telephone | 787-525-9412
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 56026
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City | BAYAMON
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State | PR
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Zip | 00960-6226
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Country | US
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Telephone | 787-525-9412
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. NERILUZ MALDONADO
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Credential | PH.D
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Telephone | 787-525-9412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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