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General NPI Number Information
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NPI Number | 1447182050
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Entity Type | Individual
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Provider Name | VIANCA MARY PAGAN-RIVERA SLP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2026
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Last Update Date | 05/30/2026
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Provider Practice Location Address
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Address Line | 350 CARR 2
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City | VEGA ALTA
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State | PR
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Zip | 00692-6075
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Country | US
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Telephone | 787-883-1885
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 6085
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-9047
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4702
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License Number State | PR
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