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General NPI Number Information
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NPI Number | 1467720805
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Entity Type | Individual
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Provider Name | ANDREA ESCALERA ESCALERA SOCIAL WORKER
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Gender | Female
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | CALLE GUIPUZCOA 311 URB. VALENCIA
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City | SAN JUAN
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State | PR
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Zip | 00923-1913
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Country | US
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Telephone | 787-328-6564
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Fax | 787-328-6564
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Provider Business Mailing Address
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Address Line | GUIPUZCOA 311 URB. VALENCIA
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City | SAN JUAN
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State | PUERTO RICO
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Zip | 00923
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Country | UM
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Telephone | 787-328-6564
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Fax | 787-328-6564
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6589
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License Number State | PR
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