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General NPI Number Information
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NPI Number | 1538647862
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Entity Type | Organization
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Legal Business Name | CLINICA TERAPEUTICA NERI
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 103 CALLE BARCELO
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City | BARRANQUITAS
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State | PR
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Zip | 00794-1605
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Country | US
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Telephone | 787-645-5066
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 CARR 844 BOX 50 ESTANCIAS DE BOULEVARD
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-645-5066
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CARMEN ROSA GONZALEZ TORRES
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Credential |
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Telephone | 787-645-5066
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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 |
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 534
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License Number State | PR
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