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General NPI Number Information
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NPI Number | 1710840848
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Entity Type | Individual
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Provider Name | GENESIS JULIETTE AYUSO ORTIZ MS, SLP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | SVS PLAZA I LOCAL #208 CARR. #2 KM 149.5 BO. ALGARROBO
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City | MAYAGUEZ
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State | PR
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Zip | 00682
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Country | US
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Telephone | 939-222-7087
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Fax |
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Provider Business Mailing Address
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Address Line | URB BAYAMON GARDENS CALLE 14 Q12
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-615-0939
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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 | 4619
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License Number State | PR
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