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General NPI Number Information
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NPI Number | 1306727904
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Entity Type | Individual
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Provider Name | ANIBAL JAN PIERRE LOPEZ LLITERAS AUD.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 2022 AVE PEDRO ALBIZU CAMPOS
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City | AGUADILLA
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State | PR
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Zip | 00603-7163
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Country | US
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Telephone | 787-882-8585
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 2692
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City | BOQUERON
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State | PR
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Zip | 00622-9363
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Country | US
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Telephone | 787-882-8585
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1026
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License Number State | PR
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