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General NPI Number Information
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NPI Number | 1467992495
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Entity Type | Individual
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Provider Name | GLENDA URENA OT1070/SI4931
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Gender | Female
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | H53 AVE FRONTERA URB VILLA ANDALUCIA LATORRE'S BUILDING
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City | TRUJILLO ALTO
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-224-7468
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1585
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City | JUNCOS
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State | PR
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Zip | 00777-1585
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Country | US
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Telephone | 787-413-3269
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1070
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License Number State | PR
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