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General NPI Number Information
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NPI Number | 1982411732
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Entity Type | Individual
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Provider Name | LAURA PAOLA RODRIGUEZ VALEDON PSYD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 1050 AVE. LAS PALMAS LOCAL4 CONDOMINIO PUERTA DE LA BAHIA
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City | SAN JUAN
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State | PR
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Zip | 00907-0071
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Country | US
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Telephone | 939-282-8222
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Fax |
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Provider Business Mailing Address
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Address Line | LAS DELICIAS #1542 CALLE STGO. OPPENHEIMER
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City | PONCE
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State | PR
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Zip | 00728
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Country | US
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Telephone | 939-282-8222
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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 | 8274
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License Number State | PR
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