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General NPI Number Information
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NPI Number | 1255114419
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Entity Type | Individual
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Provider Name | JENNIFER TORRES CARABALLO ND
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Gender | Female
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | CONDOMINIO SAN VICENTE CALLE CONCORDIA 8169 SUITE 106
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City | PONCE
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State | PR
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Zip | 00717
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Country | US
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Telephone | 787-671-1970
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Fax |
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Provider Business Mailing Address
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Address Line | VILLA NORMA CALLE EMANUEL 270
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City | JUANA DIAZ
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State | PR
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Zip | 00795-2868
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Country | US
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Telephone | 787-630-9678
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 91
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License Number State | PR
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