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General NPI Number Information
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NPI Number | 1730568528
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Entity Type | Individual
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Provider Name | ANABELLE FELICIANO LND
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Gender | Female
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Dates
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Enumeration Date | 05/26/2015
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Last Update Date | 05/26/2015
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Provider Practice Location Address
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Address Line | CARR 474 KM 1.9
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City | ISABELA
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State | PR
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Zip | 00662
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Country | US
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Telephone | 787-830-5061
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Fax |
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Provider Business Mailing Address
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Address Line | D9 CALLE 4 VISTAS DE CAMUY
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 787-830-5061
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 1349
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License Number State | PR
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