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General NPI Number Information
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NPI Number | 1326151184
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Entity Type | Individual
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Provider Name | LIZNETTE ANDUJAR RPT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | URB. JADINEZ METROPOLITANO CALLE MARCONI #970 APT. #1
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-209-4658
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Fax |
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Provider Business Mailing Address
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Address Line | HILL PLAZA 2835 CARR 2 KM 113 SECTOR LA CURVA
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City | ISABELA
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State | PR
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Zip | 00662-9641
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Country | US
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Telephone | 787-830-4466
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Fax | 939-230-0007
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1299
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License Number State | PR
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