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General NPI Number Information
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NPI Number | 1598994931
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Entity Type | Individual
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Provider Name | GERTRUDIS VEGA SANABRIA LMSW - TSE
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Gender | Female
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | F7 JARDINES DE RINCON
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City | RINCON
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State | PR
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Zip | 00677
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Country | US
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Telephone | 787-382-9875
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Fax | 787-609-8375
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Provider Business Mailing Address
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Address Line | PO BOX 6523
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City | MAYAGUEZ
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State | PR
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Zip | 00681-6523
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Country | US
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Telephone | 787-382-9875
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Fax | 787-609-8375
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 9800
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 9800
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License Number State | PR
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