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NPI 1326272337

NPI 1326272337 : KARINA RENDO : SAN JUAN, PR

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General NPI Number Information
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    NPI Number           |    1326272337
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    Entity Type          |    Individual 
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    Provider Name        |    KARINA RENDO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/05/2009
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    Last Update Date     |    09/02/2021
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Provider Practice Location Address
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    Address Line         |    1605 AVE PONCE DE LEON STE 609 
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00909-1811
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    Country              |    US
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    Telephone            |    787-563-9049
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1551 CALLE FRANCIA APT 4B CONDOMINIO FRANCIA - SANTURCE
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    City                 |    SAN JUAN
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    State                |    PR
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    Zip                  |    00911
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    Country              |    US
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    Telephone            |    917-622-6471
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    017327
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    License Number State |    NY
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