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General NPI Number Information
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NPI Number | 1376184184
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Entity Type | Organization
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Legal Business Name | CONSEJERIA DE SALUD INTEGRAL INC.
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Dates
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Enumeration Date | 10/02/2019
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | URB MONTE VERDE G33 CALLE 4
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-215-6703
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Fax |
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Provider Business Mailing Address
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Address Line | URB MONTE VERDE G33 CALLE 4
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-215-6703
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Fax |
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Authorized Official
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Title or Position | PRESITDENTE
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Name | MRS. MARY DIAZ
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Credential | PRESIDENTE
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Telephone | 787-215-6703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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