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General NPI Number Information
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NPI Number | 1154238764
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Entity Type | Individual
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Provider Name | ANGELIZ RIVERA SOSA
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Gender | Female
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | CARR. 110, KM. 23.3, BO. CEIBA BAJA, AGUADILLA, PR 0060
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City | AGUADILLA
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State | PR
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Zip | 00690
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Country | US
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Telephone | 939-313-0343
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 CALLE JOSE PALAU
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City | SAN ANTONIO
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State | PR
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Zip | 00690-1257
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Country | US
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Telephone |
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7968
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License Number State | PR
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