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General NPI Number Information
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NPI Number | 1588890016
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Entity Type | Individual
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Provider Name | AMARILYS VARGAS CORDERO OTL
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 09/01/2023
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Provider Practice Location Address
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Address Line | EDIFICIO IRAIDA CARR. 111 KM 6.3 BO. CUCHILLAS
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City | MOCA
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State | P.R.
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Zip | 00676
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Country | UM
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Telephone | 787-608-4996
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Fax |
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Provider Business Mailing Address
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Address Line | URB. LA MONSERRATE 418 CALLE GUADALUPE
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City | MOCA
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State | P.R.
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Zip | 00676
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Country | UM
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Telephone | 787-410-3735
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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 |
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License Number State |
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