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General NPI Number Information
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NPI Number | 1598829244
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Entity Type | Organization
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Legal Business Name | LUIS A. MORALES
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 3178 CALLE CRESTA
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City | TOA BAJA
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State | PR
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Zip | 00949-3130
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Country | US
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Telephone | 787-261-1298
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Fax |
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Provider Business Mailing Address
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Address Line | 3178 CALLE CRESTA
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City | TOA BAJA
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State | PR
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Zip | 00949-3130
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Country | US
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Telephone | 787-261-1298
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. LORNA TORRES
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Credential | OT
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Telephone | 787-261-1298
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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 | 835
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | C22023
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License Number State | PR
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