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General NPI Number Information
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NPI Number | 1598671513
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Entity Type | Individual
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Provider Name | JENNIFER LYZ ROMAN PEREZ
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Gender | Female
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Dates
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Enumeration Date | 08/20/2026
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Last Update Date | 08/20/2026
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Provider Practice Location Address
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Address Line | SAN GERMAN MEDICAL PLAZA STE. 202
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City | SAN GERMAN
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State | PR
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Zip | 00683
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Country | US
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Telephone | 787-438-9815
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Fax |
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Provider Business Mailing Address
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Address Line | URB. VILLA DEL CARMEN 851 CALLE SENTINA
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 939-240-1475
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4382
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License Number State | PR
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