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NPI 1275399214

NPI 1275399214 : TERAPIA EDUCATIVA EN ACCION : TRUJILLO ALTO, PR

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General NPI Number Information
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    NPI Number           |    1275399214
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    Entity Type          |    Organization 
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    Legal Business Name  |    TERAPIA EDUCATIVA EN ACCION 
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Dates
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    Enumeration Date     |    02/27/2024
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    Last Update Date     |    02/27/2024
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Provider Practice Location Address
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    Address Line         |    206 CALLE DR FERNANDEZ 
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    City                 |    TRUJILLO ALTO
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    State                |    PR
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    Zip                  |    00976-5939
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    Country              |    US
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    Telephone            |    787-678-2808
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    206 CALLE DR FERNANDEZ 
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    City                 |    TRUJILLO ALTO
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    State                |    PR
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    Zip                  |    00976-5939
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENTA
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    Name                 |    MISS LINERIS  CRUZ FRANCISCO 
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    Credential           |    PSY
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    Telephone            |    787-678-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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