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General NPI Number Information
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NPI Number | 1518584572
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Entity Type | Individual
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Provider Name | YARIMAR TORRES TAVAREZ LND
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Gender | Female
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | CARR 840, BO CERRO GORDO, SECTOR LA ALDEA ESPACIO 4B
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City | BAYAMON
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State | PR
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Zip | 00956-4405
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Country | US
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Telephone | 939-787-0526
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Fax |
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Provider Business Mailing Address
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Address Line | URB. TOA ALTA HEIGHTS C19 P-1
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City | TOA ALTA
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State | PR
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Zip | 00953-4242
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Country | US
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Telephone | 787-341-9520
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1534
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License Number State | PR
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