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General NPI Number Information
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NPI Number | 1700309994
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Entity Type | Individual
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Provider Name | DAMARYS RUIZ
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Gender | Female
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 07/20/2017
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Provider Practice Location Address
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Address Line | 146 CALLE SAN JOSE
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-4622
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Country | US
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Telephone | 787-718-3618
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Fax |
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Provider Business Mailing Address
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Address Line | 996 CALLE SAN ROBERTO STE 301
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City | SAN JUAN
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State | PR
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Zip | 00926-2736
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6125
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License Number State | PR
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