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General NPI Number Information
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NPI Number | 1174846646
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Entity Type | Organization
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Legal Business Name | C&C PROFESSIONAL THERAPY GROUP
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Dates
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Enumeration Date | 03/11/2010
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 214 MAYAGUEZ ST.
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-223-5503
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Fax |
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Provider Business Mailing Address
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Address Line | PORTALES PARQUE ESCORIAL 9204
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-223-5503
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. CATHERINE CADIZ
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Credential | MS SLP
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Telephone | 787-361-3030
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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 | 818
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License Number State | PR
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