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General NPI Number Information
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NPI Number | 1437867389
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Entity Type | Organization
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Legal Business Name | PIKO THERAPY
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | AVE. ROBERTO SANCHEZ VILELLA EDF. 903 LOCAL C-2
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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 | 787-460-9112
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Fax |
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Provider Business Mailing Address
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Address Line | 40 CONDO VEREDAS DEL RIO APT. 135
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City | CAROLINA
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State | PR
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Zip | 00987
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Country | US
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Telephone | 787-668-9026
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORLINE CARRASQUILLO CARMONA
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Credential | SLP
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Telephone | 787-460-9112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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