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General NPI Number Information
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NPI Number | 1104032812
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Entity Type | Individual
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Provider Name | MARICARMEN RIVERA-IGUINA BSW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 900 CALLE CERRA PDA 15 CDT GUALBERTO RABELL
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City | SAN JUAN
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State | PR
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Zip | 00907-5104
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Country | US
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Telephone | 787-747-2363
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1271 BARRIO NAVARRO
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City | GURABO
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State | PR
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Zip | 00778-1271
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Country | US
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Telephone | 787-747-2363
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 3799
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License Number State | PR
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