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General NPI Number Information
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NPI Number | 1063079226
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Entity Type | Organization
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Legal Business Name | WERNICKE CLINICAL GROUP
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | URB FLAMINGO TERRACE CALLE MARGINAL CARR 167 A-9
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City | BAYAMON
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State | PR
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Zip | 00961-9998
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Country | US
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Telephone | 787-787-6944
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Fax |
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Provider Business Mailing Address
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Address Line | URB ESTANCIAS DE LA FUENTE 141 CALLE NARDO
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City | TOA ALTA
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State | PR
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Zip | 00953-3685
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Country | US
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Telephone | 787-223-7964
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | BEGGY LIZ SANTIAGO-MERCADO
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Credential | SLP
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Telephone | 787-223-7964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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