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General NPI Number Information
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NPI Number | 1396249983
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Entity Type | Individual
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Provider Name | SASHA PEREZ NEGRON ATOL
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Gender | Female
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 239 SABANETAS IND PK
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City | PONCE
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State | PR
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Zip | 00716-4401
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Country | US
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Telephone | 939-238-1864
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 519
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City | VILLALBA
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State | PR
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Zip | 00766-0519
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Country | US
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Telephone | 787-709-1717
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 905
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License Number State | PR
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