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General NPI Number Information
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NPI Number | 1205655230
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Entity Type | Individual
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Provider Name | YARITZA HERNANDEZ LOPEZ PT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | EST. DEL PARRA L-15 CALLE RED
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City | LAJAS
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State | PR
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Zip | 00667-0000
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Country | US
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Telephone | 787-834-2495
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Fax |
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Provider Business Mailing Address
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Address Line | EST DEL PARRA 131 CALLE RED
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City | LAJAS
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State | PR
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Zip | 00667
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Country | US
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Telephone | 787-579-7430
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1391
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License Number State | PR
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