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General NPI Number Information
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NPI Number | 1962220707
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Entity Type | Individual
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Provider Name | RUTH NAELIS FELICIANO VARGAS MD
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Gender | Female
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | CARR. 493 INT KM 1.3 CALLE LOS RODRIGUEZ SECTOR ORATORIO BO. CARRIZALES
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City | HATILLO
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State | PR
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Zip | 00659-7331
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Country | US
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Telephone | 787-372-7777
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 141475
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City | ARECIBO
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State | PR
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Zip | 00614-1475
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Country | US
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Telephone | 939-264-7683
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 7694
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License Number State | PR
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