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General NPI Number Information
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NPI Number | 1093952368
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Entity Type | Individual
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Provider Name | YARITZA RIVERA AVILES OTL
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Gender | Female
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Dates
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Enumeration Date | 01/08/2009
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | CONDOMINIO PARQUE DEL LAGO 100 CALLE 13 BOX 406
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City | TOA BAJA
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State | PR
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Zip | 00949-3239
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Country | US
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Telephone | 787-923-2408
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Fax |
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Provider Business Mailing Address
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Address Line | CONDOMINIO PARQUE DEL LAGO 100 CALLE 13 BUZON 406
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City | TOA BAJA
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State | PR
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Zip | 00949-3239
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Country | US
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Telephone | 787-923-2408
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Fax | 939-336-5897
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 924
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License Number State | PR
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