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General NPI Number Information
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NPI Number | 1134710536
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Entity Type | Organization
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Legal Business Name | KARINA RENDO LLC
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 1605 AVE PONCE DE LEON STE 609
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City | SAN JUAN
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State | PR
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Zip | 00909-1811
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Country | US
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Telephone | 917-622-6471
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Fax |
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Provider Business Mailing Address
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Address Line | 1605 AVE PONCE DE LEON STE 609
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City | SAN JUAN
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State | PR
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Zip | 00909-1811
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Country | US
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Telephone | 917-622-6471
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Fax |
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Authorized Official
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Title or Position | SLP
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Name | MS. KARINA CECILIA RENDO
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Credential | MS-CCC
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Telephone | 917-622-6471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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