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General NPI Number Information
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NPI Number | 1326256322
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Entity Type | Organization
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Legal Business Name | SERVICIOS INTEGRALES PARA EL DESARROLLO HUMANO INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 66 URB CATALANA
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City | BARCELONETA
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State | PR
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Zip | 00617-2725
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Country | US
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Telephone | 787-846-9488
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Fax | 787-846-9488
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Provider Business Mailing Address
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Address Line | PO BOX 2020 PMB 288
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City | BARCELONETA
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State | PR
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Zip | 00617-2020
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Country | US
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Telephone | 787-846-9488
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Fax | 787-846-9488
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRELIS PEREZ-CINTRON
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Credential |
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Telephone | 17878469488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 000698
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License Number State | PR
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