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General NPI Number Information
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NPI Number | 1760839807
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Entity Type | Organization
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Legal Business Name | SHERLIE MEJIA VALLE
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 3 KS-5 AVENIDA FRAGOSO VILLA FONTANA
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-378-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 3 KS-5 AVE FRAGOSO
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City | CAROLINA
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State | PR
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Zip | 00983
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Country | US
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Telephone | 787-378-3200
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Fax |
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Authorized Official
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Title or Position | SPEECH AND LANGUACHE TERAPIST
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Name | MS. SHERLIE MEJIA VALLE
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Credential | SPL
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Telephone | 787-378-2100
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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 | 1019
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License Number State | PR
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