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General NPI Number Information
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NPI Number | 1689560484
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Entity Type | Organization
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Legal Business Name | CENTRO AVANZADO PATOLOGIA Y TERAPIA DEL HABLA INC.
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 55 CALLE MUNOZ MARIN STE A
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City | HUMACAO
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State | PR
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Zip | 00791-3646
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Country | US
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Telephone | 787-379-2349
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 17126
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City | HUMACAO
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State | PR
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Zip | 00791-9030
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Country | US
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Telephone | 787-379-2349
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Fax |
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Authorized Official
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Title or Position | DIRECTORA
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Name | MRS. LUZ AIDA CORREA
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Credential | MS PHL
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Telephone | 787-379-2349
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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