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General NPI Number Information
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NPI Number | 1255150900
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Entity Type | Organization
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Legal Business Name | ARMONIA EN TU PLATO LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 10/09/2024
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Provider Practice Location Address
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Address Line | CARR 173 KM 6.5 SECTOR SAN JOSE BO. RABANAL
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City | CIDRA
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State | PR
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Zip | 00739-1862
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Country | US
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Telephone | 787-322-8561
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Fax |
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Provider Business Mailing Address
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Address Line | 29 CALLE CASTANER
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City | SANTA ISABEL
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State | PR
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Zip | 00757-3008
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Country | US
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Telephone | 787-322-8561
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SAIMYLIZ RIVERA CORDERO
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Credential |
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Telephone | 787-322-8561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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