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General NPI Number Information
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NPI Number | 1174069751
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Entity Type | Organization
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Legal Business Name | HABLAME CLINICA TERAPEUTICA
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | CARR 153 KM 12.4 LOCAL 3 BO LAS FLORES
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City | COAMO
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State | PR
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Zip | 00769-9998
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Country | US
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Telephone | 787-929-1513
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 686
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City | COAMO
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State | PR
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Zip | 00769-0686
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Country | US
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Telephone | 787-929-1513
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. SUSANA MONTANEZ GONZALEZ
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Credential |
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Telephone | 787-929-1513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 978
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License Number State | PR
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