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General NPI Number Information
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NPI Number | 1295057057
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Entity Type | Individual
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Provider Name | SYLVIA MALAVE
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Gender | Male
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 02/22/2010
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Provider Practice Location Address
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Address Line | CALLE 10 BLOQUE 22 CASA 7 URB MIRAFLORES
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City | BAYAMON
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State | PR
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Zip | 00957-6707
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Country | US
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Telephone | 787-797-5118
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Fax |
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Provider Business Mailing Address
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Address Line | 330 AVE LOS DOMINICOS # URB CALLE 10 BLOQUE 22 CASA 7
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City | BAYAMON
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State | PR
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Zip | 00957-6707
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Country | US
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Telephone | 787-797-5118
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 00501
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License Number State | PR
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