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General NPI Number Information
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NPI Number | 1447071428
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Entity Type | Individual
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Provider Name | SANIR J SUAREZ DIAZ
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Gender | Male
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | AVENIDA FAGOT 00716 PONCE, PUERTO RICO
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 787-651-7691
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Fax |
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Provider Business Mailing Address
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Address Line | TIBES TOWN HOUSE BLQ 3 APT 13
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City | PONCE
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State | PR
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Zip | 00730
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Country | US
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Telephone | 787-298-9433
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 7880
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License Number State | PR
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