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General NPI Number Information
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NPI Number | 1437845021
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Entity Type | Organization
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Legal Business Name | CLINICA FONOMUNDI CORP
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 27-4 AVE ROBERTO CLEMENTE SPC 6
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City | CAROLINA
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State | PR
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Zip | 00985-5420
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Country | US
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Telephone | 787-513-4300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1105
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City | TRUJILLO ALTO
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State | PR
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Zip | 00977-1105
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Country | US
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Telephone | 787-513-4300
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Fax |
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Authorized Official
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Title or Position | PRESINDENTA
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Name | JACKELINE PEREZ
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Credential | LCDA
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Telephone | 787-513-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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