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General NPI Number Information
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NPI Number | 1528874880
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Entity Type | Organization
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Legal Business Name | BIENESTAR ARMONICO LLC
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | CARR 9970 KM 0.9 SIERRA 2 BO DUQUE
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City | NAGUABO
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State | PR
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Zip | 00718
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Country | US
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Telephone | 678-272-1007
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Fax | 870-280-2802
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Provider Business Mailing Address
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Address Line | PO BOX 1243
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City | NAGUABO
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State | PR
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Zip | 00718-1243
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Country | US
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Telephone | 678-272-1007
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | DR. CARISSA CABAN-ALEMAN
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Credential | MD
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Telephone | 678-272-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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