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General NPI Number Information
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NPI Number | 1407516867
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Entity Type | Individual
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Provider Name | KENNETH NOEL RUIZ MARQUEZ MS, OTR/L, CAPS, THL
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Gender | Male
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 02/28/2026
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Provider Practice Location Address
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Address Line | AV. LUIS VIGOREAUX
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City | SAN JUAN
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State | PR
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Zip | 00920
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Country | US
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Telephone | 939-244-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 10 CALLE CASIA
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City | SAN JUAN
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State | PR
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Zip | 00921-3200
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Country | US
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Telephone | 939-244-6262
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1359
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7225
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License Number State | PR
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