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General NPI Number Information
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NPI Number | 1235678210
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Entity Type | Individual
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Provider Name | YASHIRA M TORRES SPL
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Gender | Female
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 368 CALLE DE DIEGO COND CRYSTAL HOUSE APT 409
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City | SAN JUAN
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State | PR
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Zip | 00923-2916
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Country | US
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Telephone | 787-428-1618
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Fax |
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Provider Business Mailing Address
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Address Line | 409 COND CRYSTAL HOUSE
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City | SAN JUAN
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-428-1619
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 004048
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License Number State | PR
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