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General NPI Number Information
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NPI Number | 1447385992
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Entity Type | Individual
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Provider Name | MARISOL VINCENTY PH.D
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Gender | Female
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | ING CALLE GALINDE STREET EPS BUILDING OFFICE # G-03 MEDICAL SCIENCE CAMPUS
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City | SAN JUAN
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State | PR
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Zip | 00935-0001
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Country | US
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Telephone | 787-758-2525
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Fax | 787-765-6540
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Provider Business Mailing Address
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Address Line | 915 CALLE ISAURA ARNAU COUNTRY CLUB 2DA EXT,
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City | SAN JUAN
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State | PR
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Zip | 00924-3427
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Country | US
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Telephone | 787-758-2525
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Fax | 787-776-8322
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 506
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License Number State | PR
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