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General NPI Number Information
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NPI Number | 1154921690
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Entity Type | Organization
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Legal Business Name | COLABORA LLC
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 22 AVE WINSTON CHURCHILL # E022
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City | SAN JUAN
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State | PR
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Zip | 00926-6167
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Country | US
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Telephone | 787-708-4997
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Fax |
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Provider Business Mailing Address
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Address Line | URB. LA CUMBRE 273 SIERRA MORENA PMB 185
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City | SAN JUAN
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State | PR
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Zip | 00926-5575
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Country | US
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Telephone | 787-708-4997
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS ELSA A GUERRERO ORELLANA
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Credential | MS, CCC-SLP
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Telephone | 939-642-8595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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Taxonomy #7
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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Taxonomy #8
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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Taxonomy #9
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number |
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Taxonomy #10
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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Taxonomy #11
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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Taxonomy #12
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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