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General NPI Number Information
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NPI Number | 1992544993
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Entity Type | Organization
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Legal Business Name | CARRION PSYCHOLOGY GROUP LLC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | B14 CALLE I
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City | DORADO
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State | PR
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Zip | 00646-2005
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Country | US
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Telephone | 787-607-5208
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 354
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City | DORADO
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State | PR
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Zip | 00646-0354
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | LINDANELA CARRION
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Credential | PSYD
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Telephone | 787-426-5611
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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 |
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License Number State |
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