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General NPI Number Information
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NPI Number | 1083940720
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Entity Type | Individual
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Provider Name | CARLOS JAVIER HERNANDEZ-BOCACHICA MS, SLP
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Gender | Male
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Dates
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Enumeration Date | 10/31/2009
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 360 CALLE ANGEL BUONOMO STE 102
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City | SAN JUAN
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State | PR
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Zip | 00918-1372
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Country | US
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Telephone | 787-773-6206
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70344 PMB 210
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City | SAN JUAN
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State | PR
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Zip | 00936-8344
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Country | US
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Telephone | 787-813-5937
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 931
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License Number State | PR
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