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General NPI Number Information
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NPI Number | 1962823922
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Entity Type | Organization
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Legal Business Name | VALENTIN RODRIGUEZ, DALILA-CABEI CSP
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 12/22/2013
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Provider Practice Location Address
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Address Line | CARR. 417 KM 2.7 BO. MALPASO EDIFICIO CARIBBEAN OFFICE PARK
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City | AGUADA
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State | PR
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Zip | 00602
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Country | US
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Telephone | 939-253-2371
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Fax |
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Provider Business Mailing Address
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Address Line | 21 VILLAS DE ENSENAT
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City | MAYAGUEZ
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State | PR
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Zip | 00682-7524
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Country | US
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Telephone | 939-253-2371
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST DIRECTOR
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Name | DR. DALILA VALENTIN
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Credential |
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Telephone | 939-253-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 4768
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License Number State | PR
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