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General NPI Number Information
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NPI Number | 1144829730
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Entity Type | Individual
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Provider Name | KARLA MICHELLE GRAULAU MS
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 02/27/2021
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Provider Practice Location Address
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Address Line | 359 DE DIEGO AVE STE 201
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City | SAN JUAN
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State | PR
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Zip | 00909-1739
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Country | US
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Telephone | 787-723-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 AVE. PONCE DE LEON COND. PLAZA INMACULADA I APT 2203
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-452-4827
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 0044501
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License Number State | PR
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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 | 004266
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License Number State | PR
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