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General NPI Number Information
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NPI Number | 1093430308
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Entity Type | Organization
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Legal Business Name | GRUPO TERAPEUTICO Y EDUCATIVO NEURO CONECTA
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Dates
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Enumeration Date | 10/10/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 107 AVE LUIS MUNOZ RIVERA S
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City | CAYEY
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State | PR
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Zip | 00736-4719
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Country | US
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Telephone | 787-225-8950
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Fax |
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Provider Business Mailing Address
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Address Line | A2-17 CALLE A URB. SANTA ELENA
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City | BAYAMON
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State | PR
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Zip | 00957-1669
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Country | US
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Telephone | 787-225-8950
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | JEANETTE I PAGAN PERALTA
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Credential |
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Telephone | 787-225-8950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | 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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #5
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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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