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Individual
TEDDY R PASCUAL
Active
Individual
TEDDY R PASCUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12345689-1234
UT
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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