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General NPI Number Information
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NPI Number | 1083538193
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Entity Type | Individual
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Provider Name | YARITZA MARIE PAGAN PEREZ
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Gender | Female
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | AVENIDA LAUREL, NUMERO 2A2, BAYAMON, 00956
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-400-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 2A2 AVENIDA LUAREL BAYAMON PUERTO RICO 00956
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-400-6000
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 6877863
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License Number State | PR
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