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General NPI Number Information
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NPI Number | 1295511632
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Entity Type | Individual
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Provider Name | NOELIZ M GUZMAN TRABAJADOR SOCIAL
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Gender | Female
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Dates
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Enumeration Date | 09/01/2023
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | BO GUAYABAL SECTOR PASO HONDO
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City | JUANA DIAZ
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State | PR
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Zip | 00795-9519
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Country | US
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Telephone | 787-486-3197
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 13897
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City | JUANA DIAZ
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State | PR
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Zip | 00795-9519
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Country | US
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Telephone | 787-486-3197
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 14894
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License Number State | PR
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