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General NPI Number Information
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NPI Number | 1386507424
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Entity Type | Individual
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Provider Name | MARIELIX PERAZA FELIX LND
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | RES MAGNOLIA GDNS # C-17
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City | BAYAMON
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State | PR
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Zip | 00956-7100
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Country | US
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Telephone | 787-786-4600
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Fax |
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Provider Business Mailing Address
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Address Line | RR 9 BOX 1083B
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City | SAN JUAN
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State | PR
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Zip | 00926-9578
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Country | US
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Telephone | 787-226-3647
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 1888
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License Number State | PR
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