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General NPI Number Information
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NPI Number | 1962739615
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Entity Type | Individual
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Provider Name | MRS. YAMILETTE Y MOLINA CRUZ
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 67 CALLE MUNOZ RIVERA
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City | VILLALBA
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State | PR
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Zip | 00766-3048
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Country | US
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Telephone | 787-228-0000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 960
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City | VILLALBA
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State | PR
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Zip | 00766-0960
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Country | US
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Telephone | 787-943-8081
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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 | 3267
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3267
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License Number State | PR
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