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General NPI Number Information
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NPI Number | 1093347551
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Entity Type | Individual
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Provider Name | MISS SONIMAR RODRIGUEZ
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Gender | Female
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | PLAZA BAIROA BAIROA INDUSTRIAL PARK CARR. # 1
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City | CAGUAS
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State | PR
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Zip | 00725
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Country | US
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Telephone | 787-961-0760
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Fax |
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Provider Business Mailing Address
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Address Line | 82 VIA CRISTALINA
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City | CAGUAS
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State | PR
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Zip | 00727-3030
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Country | US
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Telephone | 787-628-6994
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 1049
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License Number State | PR
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