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General NPI Number Information
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NPI Number | 1093443822
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Entity Type | Organization
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Legal Business Name | ENSENARTE LLC
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Dates
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Enumeration Date | 08/10/2022
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | CARRETERA 8860 KM 1.5 PLAZA MATIENZO SHOPPING CENTER SEGUNDO NIVEL SUITE 3
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-550-8735
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CALLE TAGORE APT 1911
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City | SAN JUAN
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State | PR
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Zip | 00926-4771
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Country | US
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Telephone | 787-550-8735
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Fax |
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Authorized Official
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Title or Position | DIRECTOR EJECUTIVO
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Name | GISET FIGUEROA LOPEZ
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Credential |
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Telephone | 787-501-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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