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General NPI Number Information
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NPI Number | 1396394169
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Entity Type | Individual
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Provider Name | KARLA LYDIA PEREZ MSN
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Gender | Female
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 996 CALLE SAN ROBERTO,TOWER PFIZER EDIFICIO V, PROFESSIONAL OFFICE PART, SUITE 301
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-641-9133
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Fax |
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Provider Business Mailing Address
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Address Line | 852 CALLE EIDER COND SAN JUAN VIEW 211B
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City | SAN JUAN
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State | PR
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Zip | 00924
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Country | US
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Telephone | 787-509-7095
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 73681
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License Number State | PR
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