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General NPI Number Information
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NPI Number | 1114010980
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Entity Type | Individual
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Provider Name | YAMILLE SEGUI LPT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 59 CALLE YABOA COSTA BRAVA
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City | ISABELA
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State | PR
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Zip | 00662-6326
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Country | US
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Telephone | 787-647-6477
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Fax | 787-876-6823
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Provider Business Mailing Address
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Address Line | PMB 266 PO BOX 10000
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City | CANOVANAS
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State | PR
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Zip | 00729
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Country | US
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Telephone | 787-647-6477
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Fax | 787-876-6823
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 001214
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License Number State | PR
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